George Gwako, Moses Obimbo, Peter Bundi Gichangi, Onesmus Gachuno, John Kinuthia, Fredrick Were
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The exposure variables were sociodemographics, refferal status, intrapartum complications, partogram use and fetal heart rate monitoring. The two-sample t-test was used to compare continuous variables and Chi-square or Fisher's exact tests for categorical variables. The association between exposure and outcome variables was done using bivariate and multivariate analysis using logistic regression. Statistical significance was defined as a two-tailed p-value ≤ 0.05.</p><p><strong>Results: </strong>Refferal (OR 3.4, 95 % CI 1.9-6.03, P=0.001); no use of a partogram (OR 4.7 95% CI 2.6-8.4, P=<0.001); no fetal heart rate monitoring per schedule (OR 2.2, 95% CI 1.1-4.7, P=0.03), caesarean (OR 1.7, 95% CI 1-3.34, P=0.05) or beech delivery (OR 18, 95% CI=3.2-103, <i>P</i>=0.001) were associated with fresh stillbirth.</p><p><strong>Conclusion: </strong>Improving the referral system, intrapartum care and timely caesarean delivery can reduce the risk of fresh stillbirth.</p>","PeriodicalId":11399,"journal":{"name":"East African medical journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655848/pdf/","citationCount":"0","resultStr":"{\"title\":\"ASSOCIATION BETWEEN QUALITY OF INTRAPARTUM CARE WITH FRESH STILLBIRTH IN A LOW-INCOME URBAN SETTING.\",\"authors\":\"George Gwako, Moses Obimbo, Peter Bundi Gichangi, Onesmus Gachuno, John Kinuthia, Fredrick Were\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Africa bears the greatest burden of stillbirth and yet, there is a paucity of data from this setting. 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引用次数: 0
摘要
导言:非洲承受着最大的死产负担,然而,缺乏来自该环境的数据。本研究的目的是确定在肯尼亚内罗毕产中护理质量和新鲜死产之间的关系。方法与材料:采用2018年8月至2019年4月在内罗毕县4所三级公立医院进行的病例对照研究。214名死产妇女和428名活产28-42周的妇女被纳入研究。214名妇女中有55名(55名)有新鲜死产,并被纳入本分析。通过访谈和从病历中提取数据获得信息。暴露变量包括社会人口统计学、转诊状况、产时并发症、产程使用和胎儿心率监测。双样本t检验用于比较连续变量和分类变量的卡方检验或费雪精确检验。暴露与结果变量之间的关系采用双变量和多变量逻辑回归分析。统计学显著性定义为双尾p值≤0.05。结果:转诊(OR 3.4, 95% CI 1.9 ~ 6.03, P=0.001);未使用产程图(OR 4.7, 95% CI 2.6-8.4, P=P=0.001)与新鲜死产相关。结论:完善转诊制度、产中护理、及时剖宫产可降低新生儿死产风险。
ASSOCIATION BETWEEN QUALITY OF INTRAPARTUM CARE WITH FRESH STILLBIRTH IN A LOW-INCOME URBAN SETTING.
Introduction: Africa bears the greatest burden of stillbirth and yet, there is a paucity of data from this setting. The aim of this study was to determine the association between quality of intrapartum care and fresh stillbirth in Nairobi, Kenya.
Methods and materials: This was a case control study in 4 tertiary public hospitals in Nairobi county from August 2018 to April 2019. Two hundred and fourteen women with stillbirths and 428 women with livebirths between 28-42 weeks were enrolled. Fifty-five (55) of the 214 women had fresh stillbirths and were included in this analysis. Information was obtained through interviews and data abstraction from the medical records. The exposure variables were sociodemographics, refferal status, intrapartum complications, partogram use and fetal heart rate monitoring. The two-sample t-test was used to compare continuous variables and Chi-square or Fisher's exact tests for categorical variables. The association between exposure and outcome variables was done using bivariate and multivariate analysis using logistic regression. Statistical significance was defined as a two-tailed p-value ≤ 0.05.
Results: Refferal (OR 3.4, 95 % CI 1.9-6.03, P=0.001); no use of a partogram (OR 4.7 95% CI 2.6-8.4, P=<0.001); no fetal heart rate monitoring per schedule (OR 2.2, 95% CI 1.1-4.7, P=0.03), caesarean (OR 1.7, 95% CI 1-3.34, P=0.05) or beech delivery (OR 18, 95% CI=3.2-103, P=0.001) were associated with fresh stillbirth.
Conclusion: Improving the referral system, intrapartum care and timely caesarean delivery can reduce the risk of fresh stillbirth.
期刊介绍:
The East African Medical Journal is published every month. It is intended for publication of papers on original work and reviews of all aspects of medicine. Communications bearing on clinical and basic research on problems relevant to East Africa and other African countries will receive special attention. Papers submitted for publication are accepted only on the understanding they will not be published elsewhere without the permission of the Editor-in-Chief