在高风险分娩的妇女中,低出生体重儿童的产前护理利用率
Diah Puspita Sari1, Mario Ekoriano1, Resti Pujihasvuty1
1National Research and Innovation Agency [BRIN], Jakarta, Indonesia.
F1000Research
|March 4, 2024
概括
充分的产前护理 (ANC) 使用与较少的低出生体重 (LBW) 婴儿有关,特别是在有太多孩子的母亲身上. 加强对高风险怀孕的监测对于减少LBW发病率至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 人口统计学 人口统计学
背景情况:
- 低出生体重 (LBW) 是印尼的一个重大公共卫生问题,导致新生儿死亡率.
- 使用产前护理 (ANC) 被认为是预防LBW的关键策略.
- 本研究的重点是满足高风险分娩标准的妇女,由4T因素定义:太年轻,太老,太亲密,太多孩子.
研究的目的:
- 调查产前护理 (ANC) 使用率与低出生体重 (LBW) 结果之间的关联.
- 根据4T标准,专门研究高风险的女性之间的这种联系.
主要方法:
- 利用了2017年印度尼西亚人口与健康调查 (IDHS) 妇女模块的数据.
- 包括16627名妇女,重点关注她们的最后一次分娩.
- 采用多变量逻辑回归来分析ANC和社会人口因素对高风险女性LBW的影响.
主要成果:
- 充分使用ANC显示,只有在有"太多"孩子 (超过2个) 的妇女中,LBW减少有显著的关联.
- 在所有四个高风险标准中,早产始终与LBW的更高可能性有关.
- 在p<0.05的ANC关联和p<0.001的早产时观察到统计学意义.
结论:
- 研究结果表明,ANC对LBW的影响可能是特定于某些高风险群体的,例如那些有很多孩子的群体.
- 强调需要更好地实施合格的ANC标准,包括推的最低八次访问.
- 呼吁加强高风险怀孕 (4T) 的监测,以确保ANC的持续出席,并减少LBW的比例.
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