在印度,低出生体重和早产的相关性
1Department of Population & Development, International Institute for Population Sciences, Mumbai, Maharashtra, India.
PloS one
|August 17, 2023
概括
印度面临着高早产率 (PTB) 和低出生体重 (LBW),导致儿童死亡率. 解决孕产妇护理和社会经济因素对于改善这些不良分娩结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 印度在减少营养不良和儿童死亡率方面面临重大挑战,其死亡率超过邻国.
- 过早出生 (PTB) 和低出生体重 (LBW) 是早期儿童生长失速和死亡率的关键风险因素,阻碍了实现可持续发展目标的进展.
研究的目的:
- 提供印度PTB和LBW患病率的宏观估计.
- 通过使用具有全国代表性的数据集,确定与PTB和LBW相关的人口,社会经济和孕产妇产科因素.
主要方法:
- 来自国家家庭健康调查 (NFHS-5) 的170,253例新生儿数据的分析 2019-21.
- 使用样本重量的PTB和LBW率的估计.
- 用于分析PTB和LBW相关的物流回归模型.
主要成果:
- 2019-21年流行率估计显示,全国LBW为12%,PTB为18%,跨州差异很大.
- 母亲因素,如不充分的产前护理,先前的剖腹产和母亲的矮身材,与更高的PTB和LBW有关.
- 较高的母亲财富与增加的PTB风险有关,而较低的母亲教育和财富五分位数与较高的LBW风险相关.
结论:
- 改善印度的PTB和LBW率需要加强产前护理服务.
- 建议进一步评估先前剖腹产对后续怀孕的影响,以减轻不良分娩结果.
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