埃塞俄比亚西北部阿姆哈拉地区州转诊医院收治妇女的严重先兆子痫和子痫的产妇结局及相关因素,基于机构的横断面研究。

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1555778
Misganaw Fikrie Melesse, Getie Lake Aynalem, Martha Berta Badi, Bewket Yeserah Aynalem
{"title":"埃塞俄比亚西北部阿姆哈拉地区州转诊医院收治妇女的严重先兆子痫和子痫的产妇结局及相关因素,基于机构的横断面研究。","authors":"Misganaw Fikrie Melesse, Getie Lake Aynalem, Martha Berta Badi, Bewket Yeserah Aynalem","doi":"10.3389/fgwh.2025.1555778","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Severe preeclampsia/eclampsia is a multi-systemic pregnancy condition that manifests after 20 weeks of gestation and is linked to a high global rate of maternal morbidity and mortality. It is responsible for 11%-14% of maternal mortality globally and is the second most frequent direct obstetrical cause of death. This study aimed to assess maternal outcomes of severe preeclampsia/eclampsia and associated factors in mothers admitted to referral hospitals in the Amhara Regional State of North West Ethiopia.</p><p><strong>Methods: </strong>An institutionally based cross-sectional investigation on the outcomes of severe preeclampsia/eclampsia in mothers was carried out from April 1 to September 30, 2018. Using the census sampling technique, 456 study participants were included in the study. Data were coded, verified, and imported into Epi-info version 7.2 before being exported and analyzed in SPSS version 26. To determine the determinants of maternal outcomes of severe preeclampsia or eclampsia, binary logistic regression was employed, with a significance level of 95% confidence interval of odds ratio at <i>p</i>-value 0.05 or below.</p><p><strong>Results: </strong>Overall, severe preeclampsia and eclampsia were shown to have unfavorable maternal outcomes in 37.7% (95% CI: 32.8%, 42.3%). The following variables had statistically significant associations with unfavorable maternal outcomes of severe preeclampsia and eclampsia: educational status (AOR = 4.5, 95% CI: 1.95, 12.31), residence (AOR = 2.1, 95% CI: 1.17, 3.72), monthly family income (AOR = 2.7, 95% CI: 1.25, 6.12), parity (AOR = 6.7, 95% CI: 1.55, 12.6), history of abortion (AOR = 3.5, 95% CI: 1.63, 7.58), booking status (AOR = 5.8, 95% CI: 3.15, 9.72), and time of drug given (AOR = 4.9, 95% CI: 1.86, 13.22).</p><p><strong>Conclusion: </strong>It was discovered that severe preeclampsia and eclampsia had a high overall rate of unfavorable maternal outcomes. Promoting early antenatal care booking and formal education for women can reduce preeclampsia and eclampsia outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1555778"},"PeriodicalIF":2.3000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983513/pdf/","citationCount":"0","resultStr":"{\"title\":\"Maternal outcomes of severe preeclampsia and eclampsia and associated factors among women admitted at referral hospitals of amhara regional state, institutional-based cross-sectional study, North-West Ethiopia.\",\"authors\":\"Misganaw Fikrie Melesse, Getie Lake Aynalem, Martha Berta Badi, Bewket Yeserah Aynalem\",\"doi\":\"10.3389/fgwh.2025.1555778\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Severe preeclampsia/eclampsia is a multi-systemic pregnancy condition that manifests after 20 weeks of gestation and is linked to a high global rate of maternal morbidity and mortality. It is responsible for 11%-14% of maternal mortality globally and is the second most frequent direct obstetrical cause of death. This study aimed to assess maternal outcomes of severe preeclampsia/eclampsia and associated factors in mothers admitted to referral hospitals in the Amhara Regional State of North West Ethiopia.</p><p><strong>Methods: </strong>An institutionally based cross-sectional investigation on the outcomes of severe preeclampsia/eclampsia in mothers was carried out from April 1 to September 30, 2018. Using the census sampling technique, 456 study participants were included in the study. Data were coded, verified, and imported into Epi-info version 7.2 before being exported and analyzed in SPSS version 26. To determine the determinants of maternal outcomes of severe preeclampsia or eclampsia, binary logistic regression was employed, with a significance level of 95% confidence interval of odds ratio at <i>p</i>-value 0.05 or below.</p><p><strong>Results: </strong>Overall, severe preeclampsia and eclampsia were shown to have unfavorable maternal outcomes in 37.7% (95% CI: 32.8%, 42.3%). The following variables had statistically significant associations with unfavorable maternal outcomes of severe preeclampsia and eclampsia: educational status (AOR = 4.5, 95% CI: 1.95, 12.31), residence (AOR = 2.1, 95% CI: 1.17, 3.72), monthly family income (AOR = 2.7, 95% CI: 1.25, 6.12), parity (AOR = 6.7, 95% CI: 1.55, 12.6), history of abortion (AOR = 3.5, 95% CI: 1.63, 7.58), booking status (AOR = 5.8, 95% CI: 3.15, 9.72), and time of drug given (AOR = 4.9, 95% CI: 1.86, 13.22).</p><p><strong>Conclusion: </strong>It was discovered that severe preeclampsia and eclampsia had a high overall rate of unfavorable maternal outcomes. Promoting early antenatal care booking and formal education for women can reduce preeclampsia and eclampsia outcomes.</p>\",\"PeriodicalId\":73087,\"journal\":{\"name\":\"Frontiers in global women's health\",\"volume\":\"6 \",\"pages\":\"1555778\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-03-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983513/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in global women's health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/fgwh.2025.1555778\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in global women's health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fgwh.2025.1555778","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

重度子痫前期/子痫是一种多系统妊娠疾病,在妊娠20周后表现出来,与全球孕产妇发病率和死亡率高有关。它占全球孕产妇死亡率的11%-14%,是第二大最常见的直接产科死亡原因。本研究旨在评估埃塞俄比亚西北部阿姆哈拉地区州转诊医院收治的严重先兆子痫/子痫母亲的结局及其相关因素。方法:对2018年4月1日至9月30日重度先兆子痫/子痫母亲的结局进行基于机构的横断面调查。采用人口普查抽样技术,共纳入456名研究对象。将数据编码、验证并导入Epi-info 7.2版本,然后在SPSS 26版本中导出和分析。为确定重度子痫前期或子痫产妇结局的决定因素,采用二元logistic回归,优势比95%置信区间的显著性水平为p值0.05或以下。结果:总体而言,37.7%的严重子痫前期和子痫表现出不良的产妇结局(95% CI: 32.8%, 42.3%)。下列变量有显著关联不宜孕产妇严重子痫前期和子痫的结果:教育地位(AOR = 4.5, 95% CI: 1.95, 12.31),住所(AOR = 2.1, 95% CI: 1.17, 3.72),每月家庭收入(优势比= 2.7,95% CI: 1.25, 6.12),平价(AOR = 6.7, 95% CI: 1.55, 12.6),堕胎的历史(AOR = 3.5, 95% CI: 1.63, 7.58),预订状态(AOR = 5.8, 95% CI: 3.15, 9.72),给药物的和时间(AOR = 4.9, 95% CI: 1.86, 13.22)。结论:重度先兆子痫及子痫患儿不良结局发生率较高。促进早期产前保健预约和对妇女进行正规教育可以减少子痫前期和子痫结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Maternal outcomes of severe preeclampsia and eclampsia and associated factors among women admitted at referral hospitals of amhara regional state, institutional-based cross-sectional study, North-West Ethiopia.

Introduction: Severe preeclampsia/eclampsia is a multi-systemic pregnancy condition that manifests after 20 weeks of gestation and is linked to a high global rate of maternal morbidity and mortality. It is responsible for 11%-14% of maternal mortality globally and is the second most frequent direct obstetrical cause of death. This study aimed to assess maternal outcomes of severe preeclampsia/eclampsia and associated factors in mothers admitted to referral hospitals in the Amhara Regional State of North West Ethiopia.

Methods: An institutionally based cross-sectional investigation on the outcomes of severe preeclampsia/eclampsia in mothers was carried out from April 1 to September 30, 2018. Using the census sampling technique, 456 study participants were included in the study. Data were coded, verified, and imported into Epi-info version 7.2 before being exported and analyzed in SPSS version 26. To determine the determinants of maternal outcomes of severe preeclampsia or eclampsia, binary logistic regression was employed, with a significance level of 95% confidence interval of odds ratio at p-value 0.05 or below.

Results: Overall, severe preeclampsia and eclampsia were shown to have unfavorable maternal outcomes in 37.7% (95% CI: 32.8%, 42.3%). The following variables had statistically significant associations with unfavorable maternal outcomes of severe preeclampsia and eclampsia: educational status (AOR = 4.5, 95% CI: 1.95, 12.31), residence (AOR = 2.1, 95% CI: 1.17, 3.72), monthly family income (AOR = 2.7, 95% CI: 1.25, 6.12), parity (AOR = 6.7, 95% CI: 1.55, 12.6), history of abortion (AOR = 3.5, 95% CI: 1.63, 7.58), booking status (AOR = 5.8, 95% CI: 3.15, 9.72), and time of drug given (AOR = 4.9, 95% CI: 1.86, 13.22).

Conclusion: It was discovered that severe preeclampsia and eclampsia had a high overall rate of unfavorable maternal outcomes. Promoting early antenatal care booking and formal education for women can reduce preeclampsia and eclampsia outcomes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.70
自引率
0.00%
发文量
0
审稿时长
13 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信