巴基斯坦与孕产妇死亡率相关的人口,社会和卫生系统因素:一项嵌套病例控制研究
Ahsan Maqbool Ahmad1, Iqbal H Shah2, Ali Muhammad Mir3
1PRIME Consulting, Islamabad, Pakistan.
PloS one
|January 3, 2025
概括
在巴基斯坦,孕产妇教育,破伤风疫苗接种和避孕措施的使用减少了孕产妇死亡风险. 然而,熟练的分娩助理意外地增加了这种风险,需要对巴基斯坦进行进一步的调查.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生殖健康 生殖健康
背景情况:
- 巴基斯坦已将孕产妇死亡率降低了33% (2006-2019年),但仍面临很高的死亡率 (186/100,000活产).
- 导致产妇死亡的社会人口和卫生系统因素需要确定.
研究的目的:
- 确定与巴基斯坦孕产妇死亡率相关的社会人口和卫生系统因素.
- 用2019年巴基斯坦孕产妇死亡率调查 (PMMS) 数据分析孕产妇死亡的预测因素.
主要方法:
- 嵌套病例控制研究设计使用PMMS 2019数据.
- 确定了147例产妇死亡 (病例) 和724例活产 (对照).
- 多变量回归分析以确定孕产妇死亡率的预测因素.
主要成果:
- 较低的孕产妇死亡率与20-29岁的年龄和中等/高等教育有关.
- 熟练的分娩人员显示,孕产妇死亡的几率惊人地更高 (OR:4.07).
- 诸如破伤风疫苗接种和避孕药的使用等因素与降低孕产妇死亡风险有关.
结论:
- 中等或高等母亲教育,破伤风注射,避孕措施的使用,以及20-29岁的年龄是防止孕产妇死亡的保护因素.
- 巧合的是,在巴基斯坦,熟练的分娩人员与增加的孕产妇死亡风险有关.
- 进一步的研究对于了解持续高孕产妇死亡率的决定因素至关重要.
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