Risk factors for stillbirths in a secondary level hospital at Ballabgarh, Haryana: A case control study
Risk factors for stillbirths in a secondary level hospital at Ballabgarh, Haryana: A case control study
复制标题
DOI：
10.1007/bf02843608
复制
发表时间：
1994-01-01
影响因子：
4.3
通讯作者：
Kumar, Guresh
中科院分区：
文献类型：
--
作者：
Kapoor, S. K.;Anand, K.;Kumar, Guresh
这项研究是在 Ballabgarth 的一家二级医院进行的，由全印度医学科学研究所社区医学中心运营。 1987-1992 年研究期间的死产率为每 1,000 名新生儿中有 19.5 名。这六年间突然下降，可能反映了医院收治政策的变化。对 72 名死产者和 144 名对照者进行了病例对照研究，以确定死产的危险因素。未发现产妇年龄、妊娠情况、既往死产史或堕胎史与死产有显着相关性。通过父母的文化水平和职业来衡量的社会经济地位较差与死产显着相关。缺乏产前护理 [(OR 9.2 (2.5–37.9)]、低出生体重 (<2500 gms) [OR-18.1 (4.4–74.5)]、非头位先露 [(OR 41.2 (66–257.3)]、母亲文盲 [OR 2.75 (1.01–11.3)] 被发现是死产的重要预测因素，通过逻辑回归分析确定，提供良好的产前护理和提高社会经济地位，特别是女性识字率，将有助于降低该国的死产率。
This study was conducted at a secondary level hospital at Ballabgarth, run by Centre for Community Medicine, All India Institute of Medical Sciences. The still birth rate during the study period 1987–1992 was 19.5 per 1,000 births. It showed a sudden decline during these six years probably reflecting the change in the admission policy of the hospital. A case control study of 72 still births and 144 controls was carried out to identify risk factors for still births. Maternal age, gravidity, previous history of still births or abortion were not found to be significantly associated with still births. Poor socio-economic status measured by parental literacy and occupation were significantly associated with still births. Lack of antenatal care [(OR 9.2 (2.5–37.9)], low birth weight (<2500 gms) [OR-18.1 (4.4–74.5)], non-vertex presentation [(OR 41.2 (66–257.3)], maternal illiteracy [OR 2.75 (1.01–11.3)] were found to be the important predictors of still birth as identified by logistic regression analysis. The provision of good antenatal care and improvement of the socioeconomic status, especially female literacy, will help in decreasing the still birth rate in the country.