This study was designed to evaluate the effect of maternity care by skilled providers on the occurrence of adverse pregnancy outcomes. A community-based cohort study was conducted at Dabat district, northwest Ethiopia, from December 1, 2011 to August 31, 2012. During the study period, 763 pregnant women were registered and followed until 42 days of their postpartum period. Use of skilled maternal care was the exposure variable. Reductions in occurrence of serious complications or death (adverse pregnancy outcomes) were used as outcome indicators. Data was collected at four time points; first contact, during the 9th month of pregnancy, within 1 week after delivery and at 42 days of postpartum. The effects of the exposure variable were evaluated by controlling potential confounders using logistic regression. One hundred and fifty-three (21%) of the women encountered at least one obstetric complication or death during delivery and postpartum period. Hemorrhage and prolonged labor were the major types. Pregnancy outcomes for 41 women (5.6%) were fetal, neonatal, or maternal deaths. Four or more ANC (antenatal care) visits, <4 ANC visits and delivery by skilled attendant showed 25% (OR 0.75; 95% CI 0.25, 2.75), 9% (OR 0.91; 95% CI 0.43, 1.69) and 31% (OR 0.69; 95% CI 0.36, 1.33) reduction in the occurrence of adverse pregnancy outcomes, respectively. Skilled maternal care showed reduction in adverse pregnancy outcomes (complications and deaths). However, the associations were not significant. Improving the quality of maternity care services and ensuring continuum of care in the health care system are imperative for effective maternal health care in the study area.

译文

本研究旨在评估熟练提供者对产妇护理对不良妊娠结局的影响。从2011年12月1日到2012年8月31日,在埃塞俄比亚西北部的达巴特区进行了一项基于社区的队列研究。在研究期间,763名孕妇被登记并随访至产后42天。使用熟练的产妇护理是暴露变量。严重并发症或死亡 (不良妊娠结局) 的减少被用作结局指标。在四个时间点收集数据; 在怀孕第9个月,分娩后1周内以及产后42天的首次接触。通过使用逻辑回归控制潜在的混杂因素来评估暴露变量的影响。一百五十三 (21%) 名妇女在分娩和产后期间遇到至少一种产科并发症或死亡。出血和长时间分娩是主要类型。41名妇女 (5.6%) 的妊娠结局为胎儿、新生儿或产妇死亡。四次或更多次ANC (产前护理) 访问,<4次ANC访问和技术人员的分娩显示25% (或0.75; 95% CI 0.25,2.75),9% (或0.91; 95% CI 0.43,1.69) 和31% (或0.69; 95% CI 0.36,1.33) 分别减少不良妊娠结局的发生。熟练的孕产妇护理显示不良妊娠结局 (并发症和死亡) 减少。但是,这些关联并不重要。提高产妇保健服务的质量并确保保健系统中的连续护理对于在研究区域中有效地提供产妇保健至关重要。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录