比较埃塞俄比亚北部北沃罗区政府医院中青少年和成年妇女的不良孕产结果。

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-04-10 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1336661
Tadele Emagneneh, Chalie Mulugeta, Belay Susu, Negesse Belayneh, Delelegn Tsegaye
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引用次数: 0

摘要

背景:青少年在生理、社会和心理特征方面与成年人不同,这些特征会影响怀孕和分娩期间的孕产妇健康结果。研究表明,青少年经历不良孕产结果的风险更高。然而,这些差异在多大程度上是由各种中介因素(如生物、生活方式或社会经济条件)驱动的,目前尚不清楚。本研究旨在比较埃塞俄比亚北部北沃罗区公立医院青少年母亲和成年母亲的不良产妇结局,同时调整潜在的混杂因素,如医疗保健获取、产前护理和怀孕意图。方法:于2022年11月至2023年2月对488名母亲进行比较横断面研究。通过访谈和临床图表回顾收集数据,输入EpiData 4.6.6.0版本,使用SPSS 26版本进行分析。采用描述性统计对数据进行汇总,采用逻辑回归识别显著变量(p p值)。青春期母亲表现出显著较高的不良结果与成人的母亲相比,包括早产(7.0%比2.0%,p = 0.04),产前出血(11.9%比4.9%,p = 0.014),贫血(19.3%比10.2%,p = 0.006),妊娠高血压(11.9%比7.0%,p = 0.047),先露异常(9.0%比2.5%,p = 0.008), cephalopelvic不相称(6.1%比1.2%,p = 0.046),主要会阴眼泪(8.6%比3.3%,p = 0.016),和剖腹产(16.0%比9.8%,p = 0.04)。结论:青少年怀孕与一系列不良产妇结局密切相关,包括早产、产前出血、不良表现、羊水过少、贫血、会阴严重撕裂和剖宫产的可能性增加。为了减轻这些风险,至关重要的是实施以社区和卫生设施为基础的有针对性的干预措施,重点是预防青少年怀孕和解决促成因素,最终改善青少年的孕产妇保健结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing adverse maternal outcomes among adolescent and adult women in North Wollo Zone governmental hospitals, northern Ethiopia.

Background: Adolescents differ from adults in biological, social, and psychological characteristics, which can impact maternal health outcomes during pregnancy and childbirth. Research suggests that adolescents are at a higher risk of experiencing adverse maternal outcomes. However, the extent to which these differences are driven by various mediating factors-such as biological, lifestyle, or socioeconomic conditions-remains unclear. This study aimed to compare adverse maternal outcomes between adolescent and adult mothers in public hospitals in North Wollo Zone, northern Ethiopia, while adjusting for potential confounders such as healthcare access, antenatal care, and pregnancy intentions.

Methods: A comparative cross-sectional study was conducted from November 2022 to February 2023 involving 488 mothers. Data were collected through interviews and clinical chart reviews and then entered into EpiData version 4.6.6.0 and analyzed using SPSS version 26. Descriptive statistics were used to summarize the data, and logistic regression was applied to identify significant variables (p < 0.05). To correct for multiple testing, the false discovery rate method, using the Benjamini-Hochberg procedure, was applied with a threshold of adjusted p-values <0.1.

Results: Adolescent mothers exhibited significantly higher rates of adverse outcomes compared to adult mothers, including preterm labor (7.0% vs. 2.0%, p = 0.04), antepartum hemorrhage (11.9% vs. 4.9%, p = 0.014), anemia (19.3% vs. 10.2%, p = 0.006), pregnancy-induced hypertension (11.9% vs. 7.0%, p = 0.047), malpresentation (9.0% vs. 2.5%, p = 0.008), cephalopelvic disproportion (6.1% vs. 1.2%, p = 0.046), major perineal tears (8.6% vs. 3.3%, p = 0.016), and cesarean delivery (16.0% vs. 9.8%, p = 0.04).

Conclusion: Adolescent pregnancy was strongly linked to a range of adverse maternal outcomes, including preterm labor, antepartum hemorrhage, malpresentation, oligohydramnios, anemia, major perineal tears, and an increased likelihood of cesarean delivery. To mitigate these risks, it is crucial to implement targeted community and health facility-based interventions that focus on preventing adolescent pregnancies and addressing contributing factors, ultimately improving maternal health outcomes among adolescents.

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