在埃塞俄比亚南部西古吉区布勒霍拉大学教学医院分娩的孕妇中恒河猴阴性率和新生儿结局。

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2023-01-03 eCollection Date: 2023-01-01 DOI:10.1177/11795565221145598
Alqeer Aliyo, Girma Ashenafi, Mohammedzen Abduselam
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引用次数: 0

摘要

背景:Rh血型不合是导致新生儿严重高胆红素血症、胎儿水肿和死胎的重要原因。在这些结果中,新生儿黄疸是最常见的问题:本研究评估了 2017 年 1 月至 2022 年 12 月 31 日 5 年间在布勒霍拉大学教学医院分娩的孕妇中瑞氏(Rh)阴性的患病率和新生儿结局:对 2017 年 1 月至 2021 年 12 月 31 日期间在布勒霍拉大学教学医院(BHUTH)分娩的 110 名产妇进行了回顾性研究。使用核对表从医院登记簿中提取了产妇和新生儿的完整数据。数据使用 EpiData 版本 3 重复输入,并导出到社会科学统计软件包 (SPSS) 版本 26 进行分析。使用描述性统计来确定流行率和频率,以描述研究人群与相关变量的关系,结果以表格和图表的形式呈现:研究显示,分娩妇女中 Rh D 阴性的发生率为 6.4% [95% CI:1.83,10.98]。在 Rh 阴性产妇中,有 1 名(25%)为 AB 血型,3 名(6.5%)为 O 血型,2 名(6.1%)为 A 血型。在该医院分娩的孕妇中,O、A、B 和 AB 血型的比例分别为 41.8%、30%、24.6% 和 3.6%。在 Rh 阴性孕妇所生的新生儿中,有 1 名(14.3%)患有黄疸。在北京和睦家医院分娩的妇女中,有 61 人(55.5%)以前没有分娩过,7 人(6.4%)以前流产过,5 人(4.5%)死胎,1 人(0.9%)产后死亡,4 人(3.6%)新生儿体重不足 2.6 公斤:研究显示,Rh 阴性的发生率与其他类似研究的结果相当。为了减少与 Rh 不相容相关的高致病性新生儿死亡,政府应该对母亲进行教育,并鼓励她们在产前检查时和分娩后前往医疗机构。
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Rhesus Negativity Prevalence and Neonatal Outcomes among Pregnant Women Delivered at Bule Hora University Teaching Hospital, West Guji Zone, South Ethiopia.

Background: Rh incompatibility has been an important cause of severe neonatal hyperbilirubinemia, hydrops fetalis, and stillbirth. Among those outcomes, neonatal jaundice is the most common problem.

Objective: The study is assessed the prevalence of Rhesus (Rh) negativity and neonatal outcomes among pregnant women who delivered at Bule Hora University Teaching Hospital over a 5-year period from January 2017 to December 31, 2022.

Methods: A retrospective study was conducted on 110 women who delivered at Bule Hora University Teaching Hospital (BHUTH) from January 2017 to December 31, 2021. The complete data of the mother's and neonates' status were extracted from the registration book of the hospital using checklists. The data were double entered using EpiData version 3 and exported to the Statistical Package for Social Sciences (SPSS) version 26 for analysis. Descriptive statistics to determine prevalence and frequencies were used to describe the study population in relation to relevant variables, and the results are presented in tables and charts.

Results: The study shows that the prevalence of Rh D-negative among women who delivered was 6.4% [95% CI: 1.83,10.98]. Among Rh-negative women, 1 (25%) of blood group AB, 3 (6.5%) of blood group O, and 2 (6.1%) of blood group A were Rh-D negative. The distributions of O, A, B, and AB blood groups among pregnant women who delivered this hospital were 41.8%, 30%, 24.6%, and 3.6%, respectively. Out of neonates born to Rh-negative women, 1 (14.3%) was born with jaundice. Of women who delivered at BHUT hospital, 61 (55.5%) did not have a previous delivery, 7 (6.4%) had a previous abortion, 5 (4.5%) stillbirth, 1 (0.9) died after birth, 4 (3.6%) had a birth child weight less than 2.6 kg.

Conclusion: The study revealed that the prevalence of Rh-negative was comparable with finding of different similar studies. To reduce Rh incompatibility-related HDN, the government should educate mothers and encourage them as they follow ANC facilities and after delivery to health facilities.

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