印度的高风险怀孕:患病率和贡献风险因素 - - 一项基于全国调查的分析
Periyasamy Kuppusamy1, Ranjan Kumar Prusty2, Deepali Prakash Kale3
1Clinical Research Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, India.
印度近一半的怀孕是高风险的,增加了孕产妇和婴儿死亡率. 弱势群体,包括那些没有受过教育的人和最贫穷的人,面临更高的风险,需要有针对性的卫生政策.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 高风险怀孕 (HRP) 显著提高母亲和后代的发病率和死亡率风险.
- 各种孕产妇,医疗,生活方式和健康因素有助于增加怀孕风险和并发症.
- 了解印度HRP的流行程度对于开发有效的干预措施至关重要.
研究的目的:
- 为了确定印度妇女当前高风险怀孕的患病率.
- 确定与印度高风险怀孕相关的关键因素.
主要方法:
- 采用印度国家家庭健康调查-5 (NFHS-5) 的二次数据进行的横截面研究.
- 分析包括23,853名目前怀孕的妇女.
- 使用描述性统计和后勤回归来估计患病率和促成因素.
主要成果:
- 印度高风险怀孕的总体患病率为49.4%.
- 33%的女性有单个高风险因素,16.4%有多个高风险因素.
- 短距离分娩 (31.1%) 和不良分娩结果 (19.5%) 是重要的因素. 没有受过教育的女性和来自最贫穷的财富五分位数的女性显示HRP的几率明显更高.
结论:
- 印度大约一半的怀孕都存在一个或多个高风险因素.
- 弱势群体,包括没有受过教育和社会经济地位最差的人群,受到HRP的影响不成比例.
- 通过卫生政策解决关键的风险因素,如分娩间距短,不良分娩结果和剖腹产是必不可少的.
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