在低资源环境中与怀孕有关的急性损伤的发生率:一项前性研究
Ejiro Praise Orhewere1, Ogochukwu Chinedum Okoye1,2, Oluseyi Ademola Adejumo3
1Department of Internal Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
概括
与怀孕相关的急性损伤 (PRAKI) 影响了尼日利亚每5名妇女中就有1名妇女,通常是由可预防的产科并发症,如出血和阴引起的. 这些疾病的早期发现和管理对于减少PRAKI发病率至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 与怀孕相关的急性损伤 (PRAKI) 是一个重要的全球健康问题,特别是在低收入和中等收入国家.
- 获得最佳产科护理的机会有限,诊断延迟和转诊导致了非洲PRAKI的高负担.
- 本研究侧重于尼日利亚妇女在产前期PRAKI的发生率和原因.
研究的目的:
- 为了确定尼日利亚孕妇中PRAKI的发病率.
- 在周边期内确定PRAKI的主要病因.
- 调查与PRAKI发展相关的因素.
主要方法:
- 一项前性研究涉及162名尼日利亚两家政府医院的孕妇.
- 在分娩期间和产后7天内,在多个时间点监测血清肌素水平.
- 使用病改善全球结果 (KDIGO) 标准诊断急性损伤 (AKI);物流回归确定了PRAKI预测因素.
主要成果:
- 在研究参与者中,PRAKI的发生率为22.2%.
- 导致PRAKI的主要原因是产科出血 (66.7%),黄昏症 (19.4%) 和败血症 (13.9%).
- 与PRAKI显著相关的因素包括高平价,剖腹产,过度失血和长时间的分娩.
结论:
- 在尼日利亚妇女中,PRAKI很普遍,其中产科出血是最常见的原因.
- 诸如出血,黄昏症和败血症等可预防的疾病是PRAKI的主要原因.
- 改善产前护理,健康教育和迅速处理产科并发症可以减少尼日利亚的PRAKI发病率.
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