东努沙登加拉古邦产前保健吸收和低出生体重发生率相关因素

R. Sormin, Intje Picauly, I. D. R. Ludji
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摘要

背景:产前保健(ANC)的重要性不可低估,因为它可以发现母亲和儿童的异常和可预防的疾病,包括低出生体重(LBW)。本研究旨在确定东努沙登加拉古邦地区ANC摄取和LBW的相关因素。研究对象和方法:这是一项横断面研究,于2015年2月和3月在东努沙登加拉古邦的几个社区卫生保健中心进行。本研究选取了39位孕妇作为样本。因变量为ANC摄取和LBW发生率。自变量为母亲教育、丈夫支持、一般健康检查。通过问卷调查和母婴健康记录收集数据。数据采用多元逻辑回归分析。结果:ANC摄取随母亲受教育程度的降低而降低(OR= 0.12;95% CI= 0.02 ~ 0.69;p= 0.017),弱丈夫支持(OR= 0.06;95% CI= 0.06 ~ 0.67;p= 0.022),缺乏常规检查(OR= 0.18;95% CI= 0.04 ~ 0.83;p = 0.028)。定期摄取ANC与较低的LBW风险相关(OR= 0.54;95% CI= 0.32 ~ 0.94;p < 0.001)。结论:产妇受教育程度低、丈夫支持力度弱、缺乏常规检查导致产前保健吸收率降低。定期服用ANC与LBW的风险较低有关。关键词:产前保健,低出生体重,孕妇。
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Factors Associated with Antenatal Care Uptake and Incidence of Low Birthweight in Kupang, East Nusa Tenggara
Background: The importance of antenatal care (ANC) cannot be understated because it could detect abnormalities and preventable illnesses in mother and child, including low birth weight (LBW). This study aimed to determine factors associated with ANC uptake and LBW in Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at several Puskesmas (Community Health Care) in Kupang, East Nusa Tenggara, in February and March 2015. A sample of 39 pregnant mothers were selected for this study. The dependent variable were ANC uptake and incidence of LBW. The independent variables were maternal education, husband support, general health check ups. The data were colected by questionnaire and maternal and child health record. The data analyzed by a multiple logistic regression. Results: ANC uptake decreased with lower maternal education (OR= 0.12; 95% CI= 0.02 to 0.69; p= 0.017), weak husband support (OR= 0.06; 95% CI= 0.06 to 0.67; p= 0.022), and absence of general check ups (OR= 0.18; 95% CI= 0.04 to 0.83; p= 0.028). Regular ANC uptake was associated with lower risk of LBW (OR= 0.54; 95% CI= 0.32 to 0.94; p<0.001). Conclusion: Antenatal care uptake decreases with lower maternal education, weak husband support, and absence of general check ups. Regular ANC uptake is associated with lower risk of LBW. Keywords: antenatal care, low birth weight, pregnant women.
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