埃塞俄比亚的孕前及其决定因素:系统审查和元分析
Bekalu Getnet Kassa1, Sintayehu Asnkew2, Alemu Degu Ayele1
1Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
PloS one
|November 14, 2023
概括
在埃塞俄比亚,先兆子会影响11.51%的孕妇,35岁以上的妇女,家庭主妇,以及有先兆子或慢性高血压病史的人群的风险更高. 怀孕期间饮酒也会增加风险.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 孕前是一种严重的产科并发症,与不良的围产期结局有关.
- 在埃塞俄比亚,孕前的患病率和促成因素仍然不完全理解.
- 本综述解决了关于在埃塞俄比亚背景下产前症负担的知识差距.
研究的目的:
- 为了确定埃塞俄比亚孕前的综合患病率.
- 为了确定与埃塞俄比亚孕妇预孕症相关的关键决定因素.
主要方法:
- 2013年1月至2023年1月期间发表的初级研究的系统审查和元分析.
- 在多个数据库中进行的搜索,包括PubMed,Google Scholar,Scopus,Web of Science和灰色文学.
- 使用Microsoft Excel提取数据;使用随机效应模型计算聚合流行率.
主要成果:
- 包括29项研究,显示出先兆子的综合患病率为11.51% (95% CI:8.41,14.61).
- 重要的决定因素包括母亲年龄>35岁 (AOR=2.34),家庭主妇职业 (AOR=2.76),先前的孕前史 (AOR=4.02),慢性高血压 (AOR=2.44),以及怀孕期间的酒精摄入量 (AOR=1.53).
- 其他确定的因素是家族高血压史 (OR=1.84) 和多胎妊娠 (AOR=1.45).
结论:
- 与之前的估计相比,埃塞俄比亚的孕前的总体综合患病率显著高.
- 确定的关键风险因素包括先进的孕产妇年龄,职业地位 (家庭主妇),先前孕,慢性高血压,高血压家族病史,多胎妊娠和酒精消费.
- 调查结果强调了需要针对性干预和加强对埃塞俄比亚子宫前的监测.
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