埃塞俄比亚亚的斯亚贝巴公立医院产后出血的预测因素:一个病例控制研究
Genanew Kassie Getahun1,2, Daniel Wubishet2, Betselot Yirsaw Wubete3
1Menelik II Medical and Health Science College, Addis Ababa, Ethiopia.
Heliyon
|March 4, 2024
概括
产后出血 (PPH) 是埃塞俄比亚产妇死亡的主要原因. 确定的关键风险因素包括先前的剖腹产,延长的分娩和产前护理后续,突出了针对性监测的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 产后出血 (PPH) 是全球和埃塞俄比亚的孕产妇死亡的主要原因.
- 尽管可以预防,但PPH在分娩期间对母亲死亡作出了重大贡献.
- 这项研究解决了在亚的斯亚贝巴了解PPH决定因素的关键需求.
研究的目的:
- 确定在公共医院分娩的妇女中产后出血 (PPH) 的关键决定因素.
- 提供针对性的干预措施的证据,以减少埃塞俄比亚的PPH相关的孕产妇死亡率.
主要方法:
- 基于设施的,无匹配的病例控制研究,涉及378名参与者.
- 病例是患有PPH的女性;对照组是没有PPH的女性.
- 用二进制和多变量逻辑回归分析来确定预测因素.
主要成果:
- 产前护理跟踪 (AOR:2.58) 是一个重要的决定因素.
- 剖腹产史 (AOR: 3.47) 增加了PPH风险.
- 长时间的分娩 (AOR:5.14) 和生殖器创伤 (AOR:4.39) 被确定为独立的预测因素.
结论:
- 劳动的持续时间,剖腹产前的分娩,产前护理和生殖器创伤是PPH的独立决定因素.
- 在产前护理期间,密切监测高风险的母亲,特别是那些有剖腹产史的母亲,至关重要.
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