埃塞俄比亚西北部东Gojjam地区引产的结果和相关因素:一项多中心横断面研究。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Obstetrics and Gynecology International Pub Date : 2023-01-01 DOI:10.1155/2023/6910063
Moges Agazhe Assemie, Getachew Tilaye Mihiret, Chernet Mekonnen, Pammla Petrucka, Temesgen Getaneh, Wassachew Ashebir
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引用次数: 0

摘要

背景:引产是指一旦胎儿达到生存能力,在自然发生分娩之前,通过人工方法开始子宫收缩,目的是实现阴道分娩。虽然引产是一项关键的挽救生命的干预措施,可以潜在地减少不良妊娠结局,但有时它会对母亲和/或胎儿的健康产生不良后果。因此,本研究旨在评估引产的结果和相关因素。方法:于2020年2月25日至5月25日在埃塞俄比亚西北部东Gojjam区公立医院进行了一项基于机构的横断面研究。采用系统随机抽样技术,从411名母亲中选择了一份结构化的访谈问卷来收集数据。采用Stata/se™Version 14统计软件对数据进行分析。采用多变量二元logistic回归分析影响引产成功的潜在因素。采用校正后的优势比及其95% CI区间来宣布相关性的强度,并采用p值变量结果:成功引产的患病率为70.3%(65.6,74.7)。有利的Bishop评分((CI 3.90, 1.63-9.29);p值= 0.002),中间Bishop评分((CI 3.53, 2.15-5.82);p值= 0.001),宫颈成熟时使用催产素引产((CI 2.60, 1.21-5.63);p值= 0.015),城市居住((CI 0.48, 0.30-0.78);P值= 0.003)与成功引产相关。结论:这些结果强烈提示宫颈状况是引产成功的重要决定因素。因此,在实际引产前,医疗保健提供者应确认宫颈状况良好(使用Bishop评分)作为严格的先决条件,并应特别考虑居住在城市地区的孕妇。
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Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study.

Background: Induction of labor is the initiation of uterine contractions by artificial methods once the fetus has reached viability and prior to spontaneous onset of labor with the aim of achieving vaginal delivery. Although induction of labor is a critical life-saving intervention that potentially reduces adverse pregnancy outcomes, sometimes it has undesirable consequences for the health of the mother and/or the fetus. Hence, this study aimed to evaluate the outcomes and associated factors of labor induction.

Methods: An institution-based cross-sectional study was conducted from February 25 to May 25, 2020, among women undergoing induction at East Gojjam zone public hospitals in northwest Ethiopia. A structured interviewer-administered questionnaire was used to collect data from a sample of 411 mothers who were selected using a systematic random sampling technique. Stata/se™ Version 14 statistical software was used to analyze the data. Multivariable binary logistic regression was used to determine the potential factors affecting successful labor induction. Adjusted odds ratios with their 95% CI intervals were used to declare the strength of the association, and a variable with p value <0.05 was considered to have statistical significance.

Results: The prevalence of successful induction of labor was 70.3% (65.6, 74.7). The favorable Bishop score ((CI 3.90, 1.63-9.29); p value = 0.002), the intermediate Bishop score ((CI 3.53, 2.15-5.82); p value = 0.001), labor induction using oxytocin with cervical ripening ((CI 2.60, 1.21-5.63); p value = 0.015), and urban residence ((CI 0.48, 0.30-0.78); p value = 0.003) were associated with successful induction of labor.

Conclusion: These findings strongly suggest that cervical conditions are important determinants for the success of labor induction. Therefore, healthcare providers should confirm the favorability of the cervical status (using Bishop score) as a strict prerequisite before actual labor induction, and special consideration should be given to those pregnant women who reside in urban areas.

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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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