埃塞俄比亚西北部Debre Tabor综合医院住院孕妇的胎膜早破患病率及其相关因素:基于机构的横断面研究

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology International Pub Date : 2020-05-14 eCollection Date: 2020-01-01 DOI:10.1155/2020/4034680
Dagne Addisu, Abenezer Melkie, Shimeles Biru
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引用次数: 23

摘要

背景:在埃塞俄比亚,胎膜早破被定义为妊娠>28周至37周前分娩前羊水流失。它是高收入和低收入国家围产期、新生儿和孕产妇发病率和死亡率的一个重要原因。由于与医疗质量和社会经济因素相关的不同因素,低收入国家的早产胎膜早破的影响更严重。在研究地区,关于这个问题的证据很少。因此,本研究旨在确定在Debre Tabor总医院住院的孕妇中早产胎膜早破的患病率及其相关因素。方法:采用以医院为基础的横断面研究。共有424位母亲参与了这项研究。采用系统随机抽样的方法选择研究对象。采用图表回顾和访谈相结合的方法收集数据。计算描述性统计和分析性统计。结果:早产胎膜早破的发生率为13.7%。阴道分泌物异常(AOR = 5.30, 95% CI = 2.07-13.52)、尿路感染(AOR = 2.62, 95% CI = 1.32-5.19)、有膜早破史(AOR = 3.31, 95% CI = 1.32-8.27)、阴道出血(AOR = 2.58, 95% CI = 1.14-5.82)、上臂中围的孕妇结论:早产膜早破发生率较高。阴道分泌物异常,尿路感染,阴道出血,既往膜早破,上臂中围
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Preterm Premature Rupture of Membrane and Its Associated Factors among Pregnant Women Admitted in Debre Tabor General Hospital, North West Ethiopia: Institutional-Based Cross-Sectional Study.

Background: In Ethiopia, preterm premature rupture of membrane is defined as loss of amniotic fluid before the onset of labor in pregnancy >28 weeks of gestation but before 37 weeks. It is a significant cause of perinatal, neonatal, and maternal morbidity and mortality both in high- and low-income countries. Due to different factors associated with the quality of health care given and socioeconomic factors, the effect of preterm premature rupture of membrane is worsen in low-income countries. Little evidence is available about the problem in the study area. Therefore, this study was aimed to determine the prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted in Debre Tabor General Hospital.

Methods: Facility-based cross-sectional study was conducted. A total of 424 mothers were included in the study. Systematic random sampling was used to select study participants. A combination of chart review and interview was used to collect the data. Both descriptive and analytical statistics were computed.

Result: The prevalence of preterm premature rupture of membrane was found to be 13.7%. Pregnant women with abnormal vaginal discharge (AOR = 5.30, 95% CI  = 2.07-13.52), urinary tract infection (AOR = 2.62, 95% CI = 1.32-5.19), history of premature rupture of membrane (AOR = 3.31, 95% CI = 1.32-8.27), vaginal bleeding (AOR = 2.58, 95% CI = 1.14-5.82), and mid-upper arm circumference <23 cm (AOR = 6.26, 95% CI = 3.21-12.20) were associated with preterm premature rupture of membrane.

Conclusions: The prevalence of preterm premature rupture of membrane was high. Abnormal vaginal discharge, urinary tract infection, vaginal bleeding, previous premature rupture of membrane, and mid-upper arm circumference <23 cm were associated with preterm premature rupture of membrane. Thus, early screening and treatment of urinary tract infections and abnormal vaginal discharges were recommended to reduce the risk of preterm premature rupture of membrane.

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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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