Purpose: Direct obstetric causes have a significant contribution for severe maternal morbidities and mortalities, although the effect of grand multiparity on adverse obstetric outcomes remains controversial across studies. This study aimed to compare obstetric outcomes in grand multiparous and low multiparous women in two hospitals of southern Ethiopia.Materials and methods: A comparative cross-sectional study was conducted in one general and one comprehensive specialized hospitals in 2018. Four hundred and sixty-one mothers were included in the study. Data were collected by structured questionnaire and extraction sheets from clinical documents, and were analyzed using STATA version 14 (StataCorp, College Station, TX, USA).Results: About 39% of the included mothers had at least one adverse obstetric outcome. Hypertensive disorders of pregnancy, antepartum hemorrhage, and premature rupture of membrane and were higher in the grand multiparous mothers. However, obstructed labor and risk of cesarean delivery were higher in low multiparous women. History of medical illnesses, previous cesarean delivery, and high birth weight were independent predictors of adverse maternal outcomes regardless of parity. However, parity did not show statistically significant difference in obstetric outcomes.Conclusion: Parity did not show statistically significant difference in experiencing adverse obstetric outcomes in women. Early identification and treatment of high-risk mothers is recommended regardless of parity.

译文

目的:直接的产科病因对严重的产妇发病和死亡有重大贡献,尽管在整个研究中,巨大的产妇对不良产科预后的影响仍然存在争议。这项研究旨在比较埃塞俄比亚南部两家医院的多产及低产妇女的产科结局。材料与方法:2018年在一家综合性医院和一家综合性专科医院中进行了比较横断面研究。461例母亲被纳入研究。通过结构化问卷和临床文献摘录收集数据,并使用STATA 14版(StataCorp,美国德克萨斯州大学城,StataCorp)进行分析。结果:纳入研究的母亲中约有39%至少有一项不良产科预后。妊娠高血压疾病,产前出血和胎膜早破,在多产母亲中较高。但是,低分娩妇女的产程受阻和剖宫产的风险较高。内科病史,既往剖腹产和高出生体重是孕产妇不良后果的独立预测因素,无论其是否是均等的。但是,在产科不良结局中,胎龄没有显示出统计学上的显着差异。结论:在女性经历不良产科结局中,胎盘没有表现出统计学上的显着差异。建议不分性别,尽早识别和治疗高危母亲。

+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