埃塞俄比亚东部索马里地区公立医院不良分娩结局的决定因素:一项多中心不匹配病例对照研究

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2023-01-01 DOI:10.1177/11795565231195253
Abdurahman Kedir Roble, Raghu Gundappa, Fahima Sheik Abdirahman, Abdurehman Mohamed Abdi
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引用次数: 0

摘要

背景:不同于正常活产的妊娠结局被称为不良妊娠结局。不良妊娠结局对婴儿的家庭和社会也有显著影响。关于埃塞俄比亚东部,特别是索马里地区的不良后果的数据有限。目的:本研究旨在评估索马里地区医院不良分娩结果的决定因素。设计:本研究采用医院为基础的非匹配病例对照研究。方法:在2021年6月至7月期间,在索马里地区公立医院就诊的孕妇中进行了一项基于医院的非匹配病例对照研究。本研究共纳入327名参与者(109例病例和218例对照组)。分娩时至少有一种不良结局的妇女被认为是病例,而正常分娩结局的妇女被认为是对照组。连续招募病例,采用系统抽样方法选取对照。数据是通过访谈、记录审查和预先测试的标准工具收集的。数据录入EpiData 3.1版本,使用SPSS 22版本进行分析。采用校正优势比和95%置信区间的多变量回归分析来确定与不良出生结局相关的因素。最后,使用小于0.05的p值来识别显著相关的预测因子。结果:本研究中,农村居民[AOR = 2.80;95%CI:(1.61-4.87)]缺乏ANC随访[AOR = 3.27;95%CI:(1.77 ~ 6.02)],妊娠高血压[AOR = 3.28;95%CI:(1.74-6.17)]为贫血母亲[AOR = 3.51;95%CI:(2.02-6.07)]和阿拉伯茶咀嚼[AOR = 4.54;95%CI:(2.12-9.70)]被确定为不良出生结局的决定因素。结论:在目前的研究中,农村居住、缺乏ANC、在索引妊娠中贫血、妊娠引起的高血压和咀嚼阿拉伯茶是不良出生结局的决定因素。因此,应努力加强ANC的随访,铁和叶酸的补充,妊娠高血压的早期治疗,以及咀嚼阿拉伯茶的风险信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Determinants of Adverse Birth Outcomes in Public Hospitals of the Somali Region, Eastern Ethiopia: A Multicenter Unmatched Case-Control Study.

Background: Pregnancy outcomes that differ from normal live births are known as adverse pregnancy outcomes. Adverse pregnancy outcomes also have significant effects on the infant's family and society. There is limited data on adverse outcomes in eastern Ethiopia, particularly in the Somali region.

Objectives: This study aimed to assess the determinants of adverse birth outcomes in the Somali Region Hospitals.

Design: A hospital-based unmatched case-control study was conducted to conduct this study.

Methods: A hospital-based unmatched case-control study was conducted between June and July 2021 in pregnant women who attended public hospitals in the Somali region. A total of 327 (109 cases and 218 controls) participants were included in this study. Women who gave birth with at least 1 adverse birth outcome were considered cases, and those who gave birth with normal birth outcomes were considered controls. Cases were recruited consecutively, and controls were selected using systematic sampling methods. Data was gathered using interviews, record reviews, using the pretested standard tools. The data were entered into EpiData version 3.1 and analyzed with SPSS version 22. Multivariable regression analysis with an adjusted odds ratio and a 95% confidence interval was used to identify the factors associated with adverse birth outcomes. Finally, P-values less than .05 were used to identify significantly associated predictors.

Results: In the current study, rural residency [AOR = 2.80; 95%CI:(1.61-4.87)] lack of ANC follow-up [AOR = 3.27; 95%CI: (1.77-6.02)], pregnancy-induced hypertension [AOR = 3.28; 95%CI: (1.74-6.17)] being anemic mothers [AOR = 3.51; 95%CI: (2.02-6.07)] and khat chewing [AOR = 4.54; 95%CI: (2.12-9.70)] were identified as determinants of adverse birth outcome.

Conclusions: In the current study, rural residency, lack of ANC, being anemic in indexed pregnancies, pregnancy-induced hypertension, and khat chewing were determinants of adverse birth outcomes. Therefore, efforts should be made to enhance ANC follow-up, iron and folic acid supplementation, early treatments of pregnancy-induced hypertension, and information on the risk of chewing khat.

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