Incidence of post-partum complications and referrals of mothers and neonates to hospitals from a Midwife Obstetric Unit

Akm Monjurul Hoque, S. Buckus, M. Hoque
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Abstract

Background: The successful implementation of obstetric care should identify the maternal and foetal complications and refer to higher healthcare facilities in saving their lives. The study aimed to estimate the maternal and foetal complications risk factors during post-partum. Method: A retrospective cohort study was undertaken at a midwife obstetric unit among all women who had childbirths from January 2018 to October 2019. Regression analysis was used to predict risk factors. Results: The maternal and neonatal complications were 5.9% and 6.7% respectively. Regression analysis showed that mothers did not have antenatal care (ANC) were 2.8 times (OR=2.8, 95% CI: 1.5:5.4, p=0.001) and six times (OR=5.9, 95% CI; 2.7:12.5, p=0.000) more likely to have maternal and neonatal complications respectively. Gestational age < 32 weeks 19.0 times, (OR=19.0, 95% CI; 9.3:39.0, p=0.000) and 32-36 weeks, 4.6 times (OR=4.6, 95% CI; 2.5:9.4.0, p=0.000) more likely to have neonatal complications. Mothers without syphilis was 63% (OR=.37, 95% CI; .14:.97, p=0.04) less likely to have neonatal complications. Conclusion: Maternal and neonatal complication rates were comparable with others of similar settings. Pregnant women should be educated on the importance of ANC and strategies should be considered for improving ANC uptake and care to reduce maternal and neonatal complications. Keyword: Antenatal care; gestational age; syphilis.
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产后并发症的发生率以及助产士产科将产妇和新生儿转诊到医院的情况
背景:产科护理的成功实施应能识别产妇和胎儿的并发症,并将其转诊至更高一级的医疗机构,以挽救她们的生命。本研究旨在估计产后产妇和胎儿并发症的风险因素。研究方法在助产士产科对2018年1月至2019年10月期间的所有产妇进行了一项回顾性队列研究。采用回归分析预测风险因素。研究结果产妇和新生儿并发症的发生率分别为5.9%和6.7%。回归分析表明,未进行产前护理(ANC)的产妇发生产妇并发症和新生儿并发症的几率分别是未进行产前护理的产妇的2.8倍(OR=2.8,95% CI:1.5:5.4,p=0.001)和6倍(OR=5.9,95% CI;2.7:12.5,p=0.000)。胎龄小于 32 周的产妇发生新生儿并发症的几率是 32-36 周产妇的 19.0 倍(OR=19.0,95% CI;9.3:39.0,p=0.000),是 32-36 周产妇的 4.6 倍(OR=4.6,95% CI;2.5:9.4.0,p=0.000)。没有梅毒的母亲出现新生儿并发症的几率要低 63% (OR=.37, 95% CI; .14:.97, p=0.04)。结论孕产妇和新生儿并发症的发生率与其他类似情况的孕产妇和新生儿并发症的发生率相当。应向孕妇宣传产前检查的重要性,并考虑采取策略提高产前检查率和护理水平,以减少孕产妇和新生儿并发症。关键词:产前护理;胎龄;梅毒。
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