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Prognostic Factors for Vaginal Delivery After Cesarean 剖宫产后阴道分娩的预后因素
Pub Date : 2018-01-01 DOI: 10.4172/2376-127x.1000398
A. Soares, Horácio Azevedo, Vanessa Silva, R. Sousa-Santos
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引用次数: 0
Assessment of the Prevalence of Anemia and Its Associated Factors among Pregnant Women in Bahir Dar City Administration, North-West Ethiopia 埃塞俄比亚西北部巴希尔达尔市政府孕妇贫血患病率及其相关因素评估
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000367
D. Getaneh, Abera Bayeh, B. Belay, Tewabe Tsehaye, Z. Mekonnen
Background: Anemia in pregnancy is a public health problem affecting maternal and child health globally and particularly in many developing countries like Ethiopia. Objective: This study aims to assess the prevalence of anemia and associated factors among pregnant women at Bahir Dar city administration, Northwest Ethiopia. Methods: A cross-sectional study was conducted in public health facilities of Bahir Dar city from May to July 2014 on 480 pregnant women. Mothers who came for ANC during the study period and who met the inclusion criteria were interviewed. Hemoglobin level determination was assessed following the standard procedures. Socio-demographic, obstetrics, medical history and nutrition related data was collected using a pretested structured questionnaire. Data were collected by trained health workers and coded and cleaned. The data were entered and analyzed by using SPSS version 16.0 software. Bivaraite and multivariate regression analysis were done to assess the association between outcome and independent variables. Significance level of 0.05 was considered. Result : The overall prevalence of anemia in this study population was 18.3%. Fifty one anemic cases (10.6%) showed mild type of anemia followed by moderate anemia 33 (6.9%) and the remaining 4 (0.8%) were having severe anemia. Gravidity (AOR=2.1, 95% CI: 1.1-4.1), trimester of pregnancy (AOR=2.9, 95% CI: 1.1-7.7), history of abortion (AOR=4.9, CI: 2.4-10.2) and history of ante partum hemorrhage (AOR=2.6, 95% CI: 1.1-6.6) had statistically significant association with anemia in pregnant women. Conclusion : In the present study, the prevalence of anemia was relatively low. Gravidity, trimester of pregnancy, history of abortion and antepartum hemorrhage are the main contributing factors for anemia.
背景:妊娠期贫血是一个影响全球孕产妇和儿童健康的公共卫生问题,特别是在埃塞俄比亚等许多发展中国家。目的:本研究旨在评估埃塞俄比亚西北部巴希尔达尔市政府孕妇贫血的患病率及其相关因素。方法:对2014年5 - 7月在巴希尔达尔市公共卫生机构480名孕妇进行横断面研究。在研究期间来过ANC并符合纳入标准的母亲接受了访谈。血红蛋白水平测定按照标准程序进行评估。使用预先测试的结构化问卷收集社会人口统计学、产科、病史和营养相关数据。数据由训练有素的卫生工作者收集,并进行编码和清理。采用SPSS 16.0软件进行数据录入和分析。双变量和多变量回归分析评估结果与自变量之间的关系。考虑0.05的显著性水平。结果:该研究人群中贫血的总体患病率为18.3%。其中,轻度贫血51例(10.6%),中度贫血33例(6.9%),重度贫血4例(0.8%)。妊娠(AOR=2.1, 95% CI: 1.1 ~ 4.1)、妊娠3个月(AOR=2.9, 95% CI: 1.1 ~ 7.7)、流产史(AOR=4.9, CI: 2.4 ~ 10.2)和产前出血史(AOR=2.6, 95% CI: 1.1 ~ 6.6)与孕妇贫血有统计学意义。结论:本研究中,贫血的患病率相对较低。妊娠、孕期、流产史和产前出血是导致贫血的主要因素。
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引用次数: 11
Mothers' Behaviors in Relation to Pregnancy and Childbirth in Kathmandu, Nepal-A Hospital Based Study 尼泊尔加德满都母亲与怀孕和分娩相关的行为——一项基于医院的研究
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000394
A. Koirala
Background: Mothers’ behaviors are important indicators of child health outcomes during pregnancy and child birth. Behaviors of mother are also associated with numerous interrelating socio-economic and cultural factors and physical environment. The study aim was to assess different behaviors of mothers while pregnant and childbirth. Methods: Cross-sectional survey was carried out in between July 2016 to June 2017. Data was collected from 255 mothers, who attended to give birth in Helping Hands Community Hospital, Kathmandu, by using interview schedule with face-to-face interview. Descriptive analysis was done and presented in the form of percentage, chi-square test and Fisher’s exact test. Results: In this study, minimum age of 18 years and maximum 41 years mothers with the mean (standard deviation) age was ± 23.35 years. Among the total women, 98% received ANC service while pregnant and 96% received Tetanus Toxoid vaccine. Among the total women, 8.2% of pregnancies were unwanted and in total, about 20% of women band the food items while pregnant. Among the respondents who delivered previous baby, only 70.4% gave birth with assistant of health workers, doctors or nurses. Nearly half of the women (48.5%) preferred home delivery in previous pregnancy and about 86% had more than 2 years gap between previous and current pregnancies. Education status and TT vaccine injected by mothers showed significant difference (Fisher’s exact test=0.001, 0<0.05), where as education in relation to ANC checkup, band food items, wanted pregnancy, rest during pregnancy, preference of place for delivery found insignificant. Conclusion: Mothers’ behaviors like ANC visit, receiving TT injection during pregnancy, food beliefs, choosing place of delivery are the important factors for the outcome of the health of both mother and child. *Corresponding author: Arun Kumar Koirala, Department of Health and Allied Sciences, Pokhara University, Pokhara, Nepal, Tel: +9779849264178; E-mail: arunkoirala@gmail.com Received: September 08, 2018; Accepted: October 15, 2018; Published: October 22, 2018 Citation: Koirala AK (2018) Mothers’ Behaviors in Relation to Pregnancy and Childbirth in Kathmandu, Nepal-A Hospital Based Study. J Preg Child Health 5: 394. doi:10.4172/2376-127X.1000394 Copyright: © 2018 Koirala AK. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
背景:母亲的行为是妊娠和分娩期间儿童健康结局的重要指标。母亲的行为还与许多相互关联的社会经济和文化因素以及自然环境有关。这项研究的目的是评估母亲在怀孕和分娩时的不同行为。方法:于2016年7月至2017年6月进行横断面调查。采用访谈表与面对面访谈相结合的方法,对在加德满都援助之手社区医院分娩的255名产妇进行了数据收集。描述性分析以百分率、卡方检验和Fisher精确检验的形式进行。结果:本组产妇最小年龄18岁,最大年龄41岁,平均(标准差)年龄为±23.35岁。在所有妇女中,98%在怀孕期间接受了ANC服务,96%接种了破伤风类毒素疫苗。在所有妇女中,8.2%的怀孕是意外怀孕,总共约有20%的妇女在怀孕期间携带食物。在曾经分娩的应答者中,只有70.4%是在卫生工作者、医生或护士的协助下分娩的。近一半的妇女(48.5%)以前怀孕时更喜欢在家分娩,约86%的妇女以前和现在怀孕的时间间隔超过2年。受教育程度与母亲是否注射TT疫苗有显著差异(Fisher精确检验=0.001,0<0.05),而受教育程度与产前检查、饮食项目、想要怀孕、怀孕期间休息、分娩地点偏好的关系不显著。结论:母亲的产前拜访、孕期注射TT、饮食观念、分娩地点选择等行为是影响母婴健康结局的重要因素。*通讯作者:Arun Kumar Koirala,博卡拉大学卫生与相关科学系,尼泊尔博卡拉,电话:+9779849264178;E-mail: arunkoirala@gmail.com收稿日期:2018年9月08日;录用日期:2018年10月15日;引文:Koirala AK(2018)尼泊尔加德满都母亲与怀孕和分娩相关的行为——一项基于医院的研究。[J]妇幼保健杂志,5:394。2376 - 127 - x.1000394 doi: 10.4172 /版权所有:©2018 Koirala AK。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。
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引用次数: 2
Maternity at Extreme Ages of Reproductive Life: Maternal and Perinatal Morbidity and Mortality in West African Country (Benin) 处于生殖生命极端年龄的产妇:西非国家(贝宁)的孕产妇和围产期发病率和死亡率
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000393
M. Aboubakar, M. Ogoudjobi, F. MuhindoShabani, Tognifode, Lokossou Msh, A. Tonato-Bagnan, R. Perrin
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引用次数: 1
Breastfeeding Practices among Infants and Young Children Less Than Two Years of Age in East-Central Ethiopia: A Community-Based Cross-Sectional Study 埃塞俄比亚中东部两岁以下婴幼儿的母乳喂养实践:一项基于社区的横断面研究
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000374
A. Adem, Hiwot Berhanu, Daniel Geleta
Introduction: Globally 60% of the infant and young child death occurs due to the inappropriate infants feeding practices and infectious diseases from which two-thirds of the deaths are attributable to sub-optimal breastfeeding practices. In Ethiopia, sub-optimal breastfeeding was annually contributed to 70,000 infant mortalities. Therefore, the current study aimed to assess breastfeeding practices among children aged 0-23 months. Methods: Community-based cross-sectional study was conducted from July 18-31, 2017. A systematic random sampling technique was used to select mothers (n=421) with index age child. Data was collected on socio-demographic characteristics and breastfeeding practices through face to face interview using World Health Organization’s breastfeeding assessment criteria. The collected data were entered into and analyzed by statistical software SPSS version 20 and tested for significance at 0.05. Finally, results were presented using tables and figures. Results: The study depicted all participant infants have ever breastfed at some point in their life. The proportions of infants and young children who put on the breast early and fed colostrum were 58.4% and 52.4% in respective order while the prevalence of exclusive breastfeeding practice reported 57%. Complementary food was introduced at exactly 6 months for 34.5% of infants. The higher proportions of young children were continued breastfeeding at the age of 1year (87%) and 2 years (62.5%). Similarly, about sixty-eight (68.2%) of infants were fed breast ≥ 8 times in 24 hours. On the other hand, 41.8% of mothers practiced bottle feeding and 76.7% reduced child feeding frequency when their child got ill. Finally, early initiation of breastfeeding(X2=5.9, P=0.01) and bottle feeding (X2=3.7, P=0.03) were demonstrated significance with child sex. Conclusion: Breastfeeding practice is relatively not at the better rim among the current study community. Therefore, the scaling up of breastfeeding practice should be the imminent assignment for service providing health facilities in the area. Further, it is missive to local government to form a coalition with breastfeeding partners and community to improve optimal breastfeeding practices.
导言:全球60%的婴幼儿死亡是由于不适当的婴儿喂养方法和传染病造成的,其中三分之二的死亡可归因于不理想的母乳喂养方法。在埃塞俄比亚,不理想的母乳喂养每年造成7万名婴儿死亡。因此,本研究旨在评估0-23个月儿童的母乳喂养做法。方法:于2017年7月18-31日进行基于社区的横断面研究。采用系统随机抽样方法,选取有指标年龄子女的母亲(n=421)。采用世界卫生组织母乳喂养评估标准,通过面对面访谈收集有关社会人口特征和母乳喂养做法的数据。收集的数据采用SPSS version 20统计软件进行录入和分析,显著性检验为0.05。最后以表格和图表的形式给出了结果。结果:该研究描述了所有参与研究的婴儿在他们生命中的某个阶段都曾接受过母乳喂养。早期哺乳和初乳喂养的婴幼儿比例分别为58.4%和52.4%,纯母乳喂养的比例为57%。34.5%的婴儿在刚好6个月时开始辅食。幼儿在1岁(87%)和2岁(62.5%)时继续母乳喂养的比例较高。同样,约68名(68.2%)婴儿在24小时内母乳喂养≥8次。另一方面,41.8%的母亲实行奶瓶喂养,76.7%的母亲在孩子生病时减少了孩子的喂养频率。最后,早期母乳喂养(X2=5.9, P=0.01)和奶瓶喂养(X2=3.7, P=0.03)与儿童性别有显著性差异。结论:在目前的研究群体中,母乳喂养的实践相对来说还不是很好。因此,扩大母乳喂养做法应该是该地区提供服务的卫生设施的紧迫任务。此外,它还要求地方政府与母乳喂养伙伴和社区结成联盟,以改进最佳母乳喂养做法。
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引用次数: 3
Two Cases of Congenital Heart Diseases those Experienced Intracardiac Repair after Termination of Index Pregnancy 先天性心脏病终止妊娠心内修复2例
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000369
S. Katsuragi, Masahiro Nakao, Ryoko Ono, A. Yoshida, T. Kawamura, Ryo Suzuki, T. Yoshikawa, Taku Ishii, N. Wada, M. Ando
A 24-year-patient with Double-Chambered Right Ventricle (DCRV) got pregnant and echocardiography revealed the pressure of high pressure chamber was equal to the left ventricle and she was told the risk for the index pregnancy and had intracaradiac repair after termination of the pregnancy. Another 23 year patient with Ross procedure was told there was a severe pulmonary stenosis of the composite graft and was recommended re conduit replacement after termination. These two patients had not enough cardiac examination and did not understand well their own cardiac performance. For patients with congenital heart diseases, both education of their cardiac status and preconceptional counseling is necessary when they reach childbearing age depending on the patients’ age and development.
24岁双室右心室(DCRV)患者妊娠,超声心动图显示高压室压力等于左心室,告知其有指数妊娠风险,终止妊娠后行心内修复术。另一位23岁的罗斯手术患者被告知复合移植物存在严重的肺狭窄,并建议在终止后重新更换导管。这两例患者没有进行足够的心脏检查,对自己的心脏表现也不了解。对于先天性心脏病患者,在达到生育年龄时,根据患者的年龄和发育情况,需要对其进行心脏状况的教育和孕前咨询。
{"title":"Two Cases of Congenital Heart Diseases those Experienced Intracardiac Repair after Termination of Index Pregnancy","authors":"S. Katsuragi, Masahiro Nakao, Ryoko Ono, A. Yoshida, T. Kawamura, Ryo Suzuki, T. Yoshikawa, Taku Ishii, N. Wada, M. Ando","doi":"10.4172/2376-127X.1000369","DOIUrl":"https://doi.org/10.4172/2376-127X.1000369","url":null,"abstract":"A 24-year-patient with Double-Chambered Right Ventricle (DCRV) got pregnant and echocardiography revealed the pressure of high pressure chamber was equal to the left ventricle and she was told the risk for the index pregnancy and had intracaradiac repair after termination of the pregnancy. Another 23 year patient with Ross procedure was told there was a severe pulmonary stenosis of the composite graft and was recommended re conduit replacement after termination. These two patients had not enough cardiac examination and did not understand well their own cardiac performance. For patients with congenital heart diseases, both education of their cardiac status and preconceptional counseling is necessary when they reach childbearing age depending on the patients’ age and development.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparison of Contamination Rate between Water and Antiseptic Solution in Cleansing Method for Urine Collection 尿液收集清洗方法中水与灭菌液污染率的比较
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000386
Atiporn Ponpermpoonthawee, Ratchadawan Sooklim
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引用次数: 0
Congenital Adenomatoid Cystic Malformation: Expectant Management Outcomes 先天性腺瘤样囊性畸形:预期的治疗结果
Pub Date : 2018-01-01 DOI: 10.4172/2376-127x.1000387
S. A. Gallegos, M. Sibaja, J. G. Gaona, J. Calvo, Berenice Velazquez Torrez, D. C. Cabrera
Objective: Our purpose was to describe the evolution and perinatal outcome of Congenital Adenomatoid Cystic Malformation (CCAM) according to prenatal sonographic features in expectantly managed fetuses. Materials and Method: A retrospective review of all prenatally diagnosed CCAM cases from 1995 to 2017 at a perinatal referral center in Mexico City was conducted. Results: Twenty-seven cases were identified. Mean gestational age at the time of diagnosis was 26.5 weeks. According to Stocker ́s classification, there were eight type 1 (29.6%), ten type 2 (30%) and nine type 3 (33.4%) cases. No bilateral lesions were found. Hydrops was observed in two cases (7.4%). Lesion dimensions remained stable throughout gestation in most cases (63%), ultrasonographic regression was observed in nine fetuses (33.3%). There were no elective pregnancy terminations. Fetal demise was reported in two cases. Mean gestational age at birth was 37.1 weeks. Most newborns required only usual neonatal care. After birth, two cases showed progressive deterioration which lead to early neonatal death. Conclusion: CCAM is a relatively rare abnormality of lung development, which can be accurately diagnosed by prenatal ultrasound. Conservative management is appropriate in most cases, with a favorable outcome and a chance of regression of up to one-third of the cases.
目的:我们的目的是根据产前超声特征描述先天性腺瘤样囊性畸形(CCAM)的演变和围产期结局。材料与方法:回顾性分析1995年至2017年墨西哥城围产期转诊中心所有产前诊断的CCAM病例。结果:共鉴定27例。诊断时的平均胎龄为26.5周。根据Stocker ' s分类,1型8例(29.6%),2型10例(30%),3型9例(33.4%)。双侧未见病变。水肿2例(7.4%)。病变尺寸在整个妊娠期间保持稳定(63%),9例胎儿(33.3%)超声显示病变消退。没有选择性终止妊娠。2例胎儿死亡。出生时平均胎龄为37.1周。大多数新生儿只需要常规的新生儿护理。出生后,2例出现进行性恶化,导致新生儿早期死亡。结论:CCAM是一种较为罕见的肺部发育异常,可通过产前超声准确诊断。保守治疗在大多数情况下是合适的,有一个良好的结果,并有机会回归到三分之一的病例。
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引用次数: 1
Efficacy and Safety of Buprenorphine Maintenance Therapy during Pregnancy: A Case Report 孕期丁丙诺啡维持治疗的疗效和安全性:1例报告
Pub Date : 2018-01-01 DOI: 10.4172/2376-127x.1000389
Mohammed Ali, N. Zaher, Salam Khalil, Abhilash Makkar, M. Kozak, Aqeel Khan, R. Duprey
The misuse of opioids during pregnancy has been associated with maternal, fetal and neonatal risks. Buprenorphine substitution has not been proven teratogenic during pregnancy. This case report highlights a multipara female who gave birth to four children while using Buprenorphine. All of her children were exposed to buprenorphine during pregnancy and they all appear healthy and have met normal developmental milestones. As such, a case can be built supporting the notion that the use of opioid maintenance treatment at the time of conception and during pregnancy is not likely to have negative effects on pregnant women or newborns. In this case, measurements such as the week of delivery, birth weight, height, umbilical acid-base balance and neurodevelopment were unaffected. Thus, the prognosis of using Buprenorphine during pregnancy is favourable. Medical professionals should be advised about the benefits of opioid maintenance treatment in pregnancy and educated about the potential results related to this treatment.
怀孕期间滥用阿片类药物与孕产妇、胎儿和新生儿风险有关。丁丙诺啡替代在怀孕期间没有被证明是致畸的。本病例报告强调了一位使用丁丙诺啡生育了四个孩子的多胞胎女性。她所有的孩子在怀孕期间都接触过丁丙诺啡,他们看起来都很健康,达到了正常的发育里程碑。因此,可以建立一个案例来支持这样一种观点,即在受孕时和怀孕期间使用阿片类药物维持治疗不太可能对孕妇或新生儿产生负面影响。在这种情况下,分娩周、出生体重、身高、脐带酸碱平衡和神经发育等指标均未受影响。因此,怀孕期间使用丁丙诺啡的预后良好。应告知医疗专业人员妊娠期阿片类药物维持治疗的益处,并告知其与此治疗相关的潜在结果。
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引用次数: 0
Maternal and Neonatal Health in Select Districts of Iraq: Findings from a Recent Household Survey 伊拉克选定地区的产妇和新生儿保健:最近一次家庭调查的结果
Pub Date : 2018-01-01 DOI: 10.4172/2376-127X.1000395
S. Hossain, Shatha El Nakib, S. Ibrahim, A. Al-Harun, S. Muhammad, N. Zaka, Khulood H. Oudah, Ihsaan Jaffar
The dearth of updated data on Maternal Neonatal and Child Health (MNCH) indicators in Iraq hampers efforts for evidence-based programming. To address this gap, a cross-sectional household survey was carried out among 7,182 households. The aim of the survey was to assess the status of MNCH in select districts of Iraq where the Iraq Every Newborn Action plan is to be Implemented, and to investigate sociodemographic disparities in MNCH outcomes and service coverage. We used two-stage cluster sampling, selected 25 primary sampling units with probability proportional to size, and sampled 24 households per sampling unit in 12 districts. The total number of women included in the analysis were 7,222. The under-five mortality rate calculated was 37 deaths per 1000 live births and the neonatal mortality was 23 deaths per 1000 live births, accounting for more than half of under-five deaths. Prevalence of adolescent childbearing was high. More than half (54%) of women 15-19 years of age had a live birth at the time of the survey, and one tenth of these women had a live birth before age 15. Multivariable analysis revealed that non-use of Ante-Natal Care (ANC) was highest among women who had low educational attainment compared to women with higher education (Adjusted Odds Ratio (AOR)=4.31, 95% Confidence Interval (CI)=(1.70-10.87), women who belonged to the poorest wealth quintile compared to richest women (AOR=1.80, 95% CI=1.07-3.01), and was lowest among those less than 20 years old compared to older women (AOR=0.34, 95% CI=0.17-0.71). Similar differentials were found for quality of ANC. Additionally, across the sample, 41% of mothers experienced skin-to-skin contact with newborn and that proportion varied based on sociodemographic characteristics. The proportion of women who initiated early breastfeeding was only 33% and the poorest women were almost three times more likely to initiate breastfeeding early compared to the richest women. We hypothesize that this could be due to access of affluent women to infant formula. Our findings provide an in-depth and updated picture of the MNCH situation in select districts of Iraq and highlight the need to target interventions to rural, uneducated, and poor women. *Corresponding author: SM Moazzem Hossain, Chief of Health and Nutrition, United Nations Children’s Fund, Iraq, Tel: +9647809258540; E-mail: smhossain@unicef.org Received: September 21, 2018; Accepted: October 17, 2018; Published: October 24, 2018 Citation: Moazzem Hossain SM, Ibrahim S, Al-Harun A, Muhammad S, Oudah K, et al. (2018) Maternal and Neonatal Health in Select Districts of Iraq: Findings from a Recent Household Survey. J Preg Child Health 5: 395. doi:10.4172/2376127X.1000395 Copyright: © 2018 Moazzem Hossain SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credi
伊拉克缺乏孕产妇、新生儿和儿童健康指标的最新数据,妨碍了循证方案编制工作。为了解决这一差距,对7182户家庭进行了横断面家庭调查。调查的目的是评估在伊拉克将实施“伊拉克每个新生儿行动计划”的选定地区,母婴健康服务的状况,并调查母婴健康服务成果和服务覆盖率方面的社会人口差异。我们采用两阶段整群抽样,选取25个与人口规模成概率比例的主抽样单位,在12个地区每个抽样单位抽样24户。参与分析的女性总数为7222人。5岁以下儿童死亡率为每1000例活产37例死亡,新生儿死亡率为每1000例活产23例死亡,占5岁以下儿童死亡的一半以上。青少年生育率高。在调查期间,超过一半(54%)的15-19岁妇女活产,其中十分之一的妇女在15岁之前活产。多变量分析显示,与受过高等教育的妇女相比,受教育程度低的妇女不使用产前护理(ANC)的比例最高(调整优势比(AOR)=4.31, 95%置信区间(CI)= 1.70-10.87),与最富有的妇女相比,属于最贫穷的五分之一的妇女(AOR=1.80, 95% CI=1.07-3.01),与年龄较大的妇女相比,20岁以下的妇女不使用产前护理(ANC)的比例最低(AOR=0.34, 95% CI=0.17-0.71)。在ANC的质量上也发现了类似的差异。此外,在整个样本中,41%的母亲与新生儿有过肌肤接触,这一比例因社会人口统计学特征而异。开始早期母乳喂养的妇女比例仅为33%,最贫穷妇女早期开始母乳喂养的可能性几乎是最富有妇女的三倍。我们假设,这可能是由于富裕妇女获得婴儿配方奶粉。我们的研究结果提供了伊拉克特定地区MNCH状况的深入和最新情况,并强调了针对农村、未受教育和贫困妇女进行干预的必要性。*通讯作者:SM Moazzem Hossain,伊拉克联合国儿童基金会卫生和营养主任,电话:+9647809258540;邮箱:smhossain@unicef.org收稿日期:2018年9月21日;录用日期:2018年10月17日;引用本文:Moazzem Hossain SM, Ibrahim S, al - harun A, Muhammad S, Oudah K等。(2018)伊拉克部分地区的孕产妇和新生儿健康:最近一次家庭调查的结果。[J]妇幼保健杂志,5:395。doi: 10.4172 / 2376127 x.1000395版权所有:©2018 Moazzem Hossain SM, et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。
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引用次数: 8
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Journal of pregnancy and child health
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