急诊剖宫产产妇5分钟APGAR评分低的患病率及相关因素:埃塞俄比亚的前瞻性横断面研究

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Temesgen Tantu, Tayech Tantu, Yohanna Hailu, Dereje Gashaw, Biruk Melkamu
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引用次数: 0

摘要

背景:Apgar评分是一种评估产后婴儿状态的方法。它也用于评估对复苏的反应和总体预后。在埃塞俄比亚,出生窒息是新生儿死亡和发病的主要原因之一。APGAR评分特别是第5分钟评分比第1分钟APGAR评分对新生儿预后有较强的预测作用,因此本研究的重点是研究2023年1 - 6月Wolkite大学专科医院剖宫产产妇中第5分钟APGAR评分的患病率及相关因素。采用方便抽样的方法,对Wolkite大学专科医院于2023年1月1日至6月30日剖宫产产妇270例进行了基于机构的前瞻性横断面研究。数据收集是通过细致的图表审查和访谈进行的。数据采用Epi数据7录入,并用SPSS 26进行统计分析。自变量与5分钟APGAR之间的关联使用95%置信区间的比值比进行估计。结果:共纳入270名母亲,第5分钟APGAR评分低的患病率为27.4%。多因素logistic回归分析显示,干预前胎儿心跳(AOR = 9.1;95% CI: 3.8,21.9),心动过速(AOR = 3.7;95% CI: 1.5,9.8)),胎粪染色羊水(AOR = 3.0;95% CI: 1.5,6.2),产程大于24 h (AOR = 11.2;95% CI: 3.9, 31.9),低出生体重(AOR = 4.3;95% ci: 1.7,10.3)。结论:低APGAR评分非常普遍。干预前胎心跳动、胎粪染色羊水、产程大于24 h、低出生体重是APGAR不良的预测因素。加强早期产科干预,如电子胎儿监测,使用产程,及时剖宫产以及早期新生儿复苏技术,可能会降低与低APGAR评分相关的并发症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and factors associated with low 5th minute APGAR score among mothers who birth through emergency cesarean section: prospective cross-sectional study in Ethiopia.

Background: Apgar score is a method to assess the status of the baby immediately after delivery. It also used to assess the response to and overall the prognosis of the resuscitations. In Ethiopia Birth asphyxia is the one leading cause of neonatal mortality and morbidity. The APGAR score especially the 5th minute one has strong prediction of the neonatal outcome than the 1st minute APGAR score so this study focuses on identifying the prevalence and factors associated with of 5th minute APGAR score among mothers who gave birth through cesarean section in Wolkite University specialized hospital in January to June 2023 G.C.

Methods: Institution based prospective cross-sectional study was conducted by using convenience sampling on 270 Mothers, who gave birth through cesarean section in Wolkite University specialized hospital from January 1- June 30 2023 GC. The data collection was conducted through meticulous chart review and interviews. Data were entered using Epi data 7 and analyzed with SPSS 26. The association between independent variables and the 5th minute APGAR was estimated using an odds ratio with 95% confidence intervals. The statistical significance of the association was declared at P-value < 0.05.

Results: Total of 270 mothers were included and the prevalence of low fifth minute APGAR score 27.4%. multivariate logistic regression analysis showed that the predictors of low 5th minute APGAR score are fetal heart beat before intervention( bradycardia ( AOR = 9.1; 95% CI: 3.8,21.9),tachycardia ( AOR = 3.7; 95% CI: 1.5,9.8)), meconium stained Amniotic fluid (AOR = 3.0; 95% CI: 1.5,6.2), labor duration greater than 24 h ( AOR = 11.2; 95% CI: 3.9, 31.9), low birth weight( AOR = 4.3; 95% CI: 1.7,10.3).

Conclusion: A low APGAR score is highly prevalent. Fetal heart beat before intervention, meconium stained Amniotic fluid, labor duration greater than 24 h, low birth weight are statistically significant predictors of poor APGAR. Enhancing the early obstetric interventions like electronic fetal monitoring, use of partograph, and timely cesarean sections as well as early neonatal resuscitation techniques might mitigate the risk of complications linked with low APGAR scores.

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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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