影响加纳怀孕并发症的因素
Yaw K Wiafe1, Andrews Asamoah2, Patricia Akweongo3
1Department of Radiology, Korle-Bu Teaching Hospital, Accra, Ghana.
Global journal on quality and safety in healthcare
|November 13, 2024
概括
妊娠并发症在加纳很常见,影响了超过一半的妇女. 早期产前护理 (ANC) 访问对于识别和管理风险至关重要,改善母亲健康结果.
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:
- 孕产妇死亡率仍然是一个全球卫生挑战,怀孕并发症在加纳的生育年龄妇女的死亡中起到了重要作用.
- 在加纳,超过一半的与怀孕有关的死亡是可以通过及时的医疗评估来预防的,这凸显了孕产妇医疗保健的关键差距.
- 关于妊娠并发症综合患病率的有限数据阻碍了加纳对母亲健康的有效政策制定.
研究的目的:
- 确定加纳参加产前护理 (ANC) 服务的妇女怀孕并发症的患病率.
- 确定与研究人口中妊娠并发症发生相关的关键因素.
主要方法:
- 在Mamprobi医院进行了一项基于设施的横截面研究,涉及Mamprobi医院的415名孕妇,使用系统采样.
- 使用双变量和多重逻辑回归分析来确定妊娠并发症的重要决定因素.
- 在p值小于0.05时确定了统计显著性,结果以调整的赔率比率 (AOR) 报告.
主要成果:
- 妊娠并发症的发生率很高,影响了51.8%的孕妇.
- 显著的促成因素包括先进的母亲年龄 (AOR,6.1),之前的妊娠并发症 (AOR,2.5),不充分的ANC访问 (AOR,6.1) 和家庭病史 (AOR,3.6).
- 其他关键因素包括先前的堕胎 (AOR,7.8),对产科危险迹象的有限知识 (AOR,2.4),以及在怀孕期间经历危险迹象 (AOR,6.6).
结论:
- 该研究显示,在Mamprobi医院参加ANC服务的妇女中,怀孕并发症的发生率很高.
- 早期启动ANC服务对于管理诸如贫血和孕前等并发症至关重要.
- 医疗保健提供者,特别是助产士,应该强烈鼓励孕妇在怀孕早期开始ANC访问.
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