{"title":"在 Debre Berhan 综合专科医院分娩的母亲的早产率及相关因素。","authors":"Yosef Kibret, Abebe Minda Bunie, Sadat Mohammed, Tilahun Deresse Tamene, Tadesse Mamo Dejene","doi":"10.3389/fgwh.2024.1375196","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Premature deliveries are a major public health issue, with high health, economic, and productivity costs associated with lengthy hospitalizations in neonatal critical care units. The goal of this study was to determine the number of premature births in Ethiopia's Debre Berhan Comprehensive Specialized Hospital and the factors that influence them.</p><p><strong>Methods: </strong>The Debre Berhan Comprehensive Specialized Hospital conducted an institution-based cross-sectional study between February and April 2020. A total of 325 study participants were selected using systematic random sampling. Face-to-face interviews using a pre-tested semi-structured questionnaire were used to collect data. For data entry and analysis, Epi data version 3.1 and SPSS version 20 were used. At a <i>P</i>-value of 0.2, bivariate logistic regression analysis was used to categorize candidate variables to the next level, and variables in multivariate logistic regression models with a <i>p</i>-value of 0.05 were considered statistically significant.</p><p><strong>Result: </strong>Preterm births accounted for 16.1% of all births at Debre Berhan Comprehensive Specialized Hospital. Cesarean section [AOR = 2.412; 95% CI (1.154, 5.0370)], twin pregnancy [AOR = 3.524; 95% CI (1.114, 11.150)], and maternal anemia during pregnancy [AOR = 3.124; 95% CI (1.417, 6.887)] were statistically significant associations with the outcome variable in the final logistic regression model.</p><p><strong>Conclusion and recommendation: </strong>Preterm birth was found to be greater in the study area than in the Global Action Report for Sub-Saharan Africa and a few other countries. Efforts should be made to prevent maternal health issues that lead to caesarean section, and all pregnant mothers should be supplemented with iron and folic acid as soon as feasible. This study suggests that there is still a gap in the field in terms of health service intervention.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1375196"},"PeriodicalIF":2.3000,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11165098/pdf/","citationCount":"0","resultStr":"{\"title\":\"Magnitude of preterm birth and associated factors Among mothers who gave birth in Debre Berhan comprehensive specialized hospital.\",\"authors\":\"Yosef Kibret, Abebe Minda Bunie, Sadat Mohammed, Tilahun Deresse Tamene, Tadesse Mamo Dejene\",\"doi\":\"10.3389/fgwh.2024.1375196\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Premature deliveries are a major public health issue, with high health, economic, and productivity costs associated with lengthy hospitalizations in neonatal critical care units. The goal of this study was to determine the number of premature births in Ethiopia's Debre Berhan Comprehensive Specialized Hospital and the factors that influence them.</p><p><strong>Methods: </strong>The Debre Berhan Comprehensive Specialized Hospital conducted an institution-based cross-sectional study between February and April 2020. A total of 325 study participants were selected using systematic random sampling. Face-to-face interviews using a pre-tested semi-structured questionnaire were used to collect data. For data entry and analysis, Epi data version 3.1 and SPSS version 20 were used. At a <i>P</i>-value of 0.2, bivariate logistic regression analysis was used to categorize candidate variables to the next level, and variables in multivariate logistic regression models with a <i>p</i>-value of 0.05 were considered statistically significant.</p><p><strong>Result: </strong>Preterm births accounted for 16.1% of all births at Debre Berhan Comprehensive Specialized Hospital. Cesarean section [AOR = 2.412; 95% CI (1.154, 5.0370)], twin pregnancy [AOR = 3.524; 95% CI (1.114, 11.150)], and maternal anemia during pregnancy [AOR = 3.124; 95% CI (1.417, 6.887)] were statistically significant associations with the outcome variable in the final logistic regression model.</p><p><strong>Conclusion and recommendation: </strong>Preterm birth was found to be greater in the study area than in the Global Action Report for Sub-Saharan Africa and a few other countries. Efforts should be made to prevent maternal health issues that lead to caesarean section, and all pregnant mothers should be supplemented with iron and folic acid as soon as feasible. This study suggests that there is still a gap in the field in terms of health service intervention.</p>\",\"PeriodicalId\":73087,\"journal\":{\"name\":\"Frontiers in global women's health\",\"volume\":\"5 \",\"pages\":\"1375196\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-05-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11165098/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in global women's health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/fgwh.2024.1375196\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in global women's health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fgwh.2024.1375196","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:早产是一个重大的公共卫生问题,与新生儿重症监护室的长期住院相关的健康、经济和生产成本都很高。本研究旨在确定埃塞俄比亚 Debre Berhan 综合专科医院的早产儿数量及其影响因素:Debre Berhan 综合专科医院在 2020 年 2 月至 4 月期间开展了一项以医院为基础的横断面研究。研究采用系统随机抽样法,共抽取了 325 名参与者。研究人员使用事先测试过的半结构化问卷进行面对面访谈,以收集数据。数据输入和分析采用 Epi data 3.1 版和 SPSS 20 版。在 P 值为 0.2 时,使用二元逻辑回归分析将候选变量分类到下一级,P 值为 0.05 的多变量逻辑回归模型中的变量被视为具有统计学意义:结果:早产儿占 Debre Berhan 综合专科医院所有新生儿的 16.1%。在最终的逻辑回归模型中,剖宫产[AOR = 2.412; 95% CI (1.154, 5.0370)]、双胎妊娠[AOR = 3.524; 95% CI (1.114, 11.150)]和孕期贫血[AOR = 3.124; 95% CI (1.417, 6.887)]与结果变量有显著的统计学关联:研究发现,研究地区的早产率高于《撒哈拉以南非洲全球行动报告》和其他一些国家。应努力预防导致剖腹产的孕产妇健康问题,并在可行的情况下尽快为所有孕产妇补充铁和叶酸。这项研究表明,该领域在卫生服务干预方面仍存在差距。
Magnitude of preterm birth and associated factors Among mothers who gave birth in Debre Berhan comprehensive specialized hospital.
Background: Premature deliveries are a major public health issue, with high health, economic, and productivity costs associated with lengthy hospitalizations in neonatal critical care units. The goal of this study was to determine the number of premature births in Ethiopia's Debre Berhan Comprehensive Specialized Hospital and the factors that influence them.
Methods: The Debre Berhan Comprehensive Specialized Hospital conducted an institution-based cross-sectional study between February and April 2020. A total of 325 study participants were selected using systematic random sampling. Face-to-face interviews using a pre-tested semi-structured questionnaire were used to collect data. For data entry and analysis, Epi data version 3.1 and SPSS version 20 were used. At a P-value of 0.2, bivariate logistic regression analysis was used to categorize candidate variables to the next level, and variables in multivariate logistic regression models with a p-value of 0.05 were considered statistically significant.
Result: Preterm births accounted for 16.1% of all births at Debre Berhan Comprehensive Specialized Hospital. Cesarean section [AOR = 2.412; 95% CI (1.154, 5.0370)], twin pregnancy [AOR = 3.524; 95% CI (1.114, 11.150)], and maternal anemia during pregnancy [AOR = 3.124; 95% CI (1.417, 6.887)] were statistically significant associations with the outcome variable in the final logistic regression model.
Conclusion and recommendation: Preterm birth was found to be greater in the study area than in the Global Action Report for Sub-Saharan Africa and a few other countries. Efforts should be made to prevent maternal health issues that lead to caesarean section, and all pregnant mothers should be supplemented with iron and folic acid as soon as feasible. This study suggests that there is still a gap in the field in terms of health service intervention.