比哈尔的死产率和产前死产的孕产妇风险因素:一项基于医院的横截面研究
Monika Gupta1, Meena Samant1, Jayoti Malhotra1
1Department of Obstetrics and Gynaecology, Kurji Holy Family Hospital, Patna, Bihar, India.
Journal of family medicine and primary care
|July 29, 2025
概括
死产仍然是一个问题,特别是在农村地区,与高血压和不充分的产前护理等因素有关. 改善怀孕护理和农村医疗保健的准入对于预防至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 死产的流行率和风险因素受到地理和社会经济背景的影响.
- 许多死产风险可以通过优质的怀孕护理来预防.
- 解决这些因素是预防死产的关键.
研究的目的:
- 在比哈尔邦帕特纳的一家转诊医院调查死产的流行率和危险因素.
- 分析与死产相关的人口,临床和产科因素.
主要方法:
- 在比哈尔邦帕特纳的一家推医院进行的描述性横截面研究 (2023-2024年).
- 包括所有因死胎而复杂的怀孕.
- 用MS Excel分析的人口统计,主要病情,并发症和临床/实验室参数的数据收集.
主要成果:
- 在5666例分娩中,每1000例出生的死亡出生率为13.4例.
- 受影响的女性主要来自农村地区 (70%),年龄在25-35岁之间 (63%),受教育程度和社会经济地位低.
- 关键的关联包括与怀孕相关的高血压 (19.7%),橄水 (48.68%) 和子宫内生长迟缓 (50%的女性胎儿).
- 常见的投诉是胎儿运动减少 (66%) 和腹痛 (43%).
结论:
- 与怀孕相关的高血压是死胎和子宫内生长迟缓的重要危险因素.
- 不足够的产前护理,农村医疗保健缺口和有限的认识导致死产.
- 提高孕产妇和胎儿健康意识,改善农村卫生保健和社会承诺对于降低死产率至关重要.
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