• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Gynecology and Obstetrics >Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)
【24h】

Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)

机译：产妇贫血症：布拉柴维尔（刚果共和国）三种母体的流行病学和妊娠结局

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from February 1st to July 31st, 2017, in three Brazzaville maternity clinics, comparing the ratio of one case for two controls, the anemic parturient (n = 67) to those without anemia (n = 134). Any parturient with a hemoglobin level 11 g / dl was considered anemic. The variables studied were sociodemographic and reproductive, related to anemia, per and postpartum. Results: Sixty-seven anemic parturient were recorded among 10,106 deliveries, a frequency of 0.7%. Anemic female parturient were older (30.1 ± 1.6 years vs 27.5 ± 1.9 years, p 0.05), out of school (OR = 13.1 [1.5-111], p 0.05) and unemployed (OR = 3.8 [2.1-7.2], p 0.05). The mean hemoglobin level was 8.1 ± 0.1g / dl vs 12.1 ± 0.8g / dl. Anemia was microcytic hypochromic (28.4%) and normochromic normocytic (71.6%). Anemia was mild (40.3%), moderate (44.7%) and severe (15%). Delivery was more by caesarean section in cases (97% vs 1.5%, p 0.05) with a higher recourse to blood transfusion (55.4% vs 3.8%, OR = 29.9 [10.8-82.6], p 0.05). Maternal lethality was 13-fold higher in case of anemia (OR = 13 [1.5-111], p 0.05). Neonatal morbidity was represented by poor adaptation to extrauterine life (OR = 40.7 [9.1-180.7), p 0.05), hypotrophy (OR = 21.9 [7.2-67.1], p 0.05), prematurity (OR = 6.6 [2.6-16.9], p 0.05), neonatal resuscitation (OR = 35.4 [10.2-122.5), p 0.05) and neonatal transfer (OR = 2.8 [2-4], p 0.05). Neonatal lethality was three times higher in case of anemia (OR = 3.3 [2.6-4.8], p 0.05). Conclusion: Maternal and neonatal prognosis is poor in anemic female parturient. Reducing the maternal and fetal impact of anemia during childbirth requires early detection and case management during prenatal contact.
机译：目的：分娩期间的贫血仍然是生殖健康人员关注的一个问题，无论是在频率上还是在怀孕和分娩的所有时期所涉及的风险方面。这项工作旨在分析贫血性产妇的流行病学特征及其妊娠结局。方法：2017年2月1日至2017年7月31日，在三个Brazzaville妇产科诊所进行了一项多中心病例对照研究，比较了一个病例与两个对照（贫血（n = 67）与无贫血（n = 134）的对照）的比率）。血红蛋白水平<11 g / dl的任何产妇被视为贫血。所研究的变量是社会人口统计学和生殖学，与产后和贫血有关。结果：10106例分娩中有67例贫血，频率为0.7％。贫血的女性分娩年龄较大（30.1±1.6岁对27.5±1.9岁，p <0.05），失学（OR = 13.1 [1.5-111]，p <0.05）和失业（OR = 3.8 [2.1-7.2]， p ＜0.05）。平均血红蛋白水平为8.1±0.1g / dl，而12.1±0.8g / dl。贫血为小细胞性低色素血症（28.4％）和常色性正血红细胞（71.6％）。贫血为轻度（40.3％），中度（44.7％）和重度（15％）。剖宫产的分娩率更高（97％vs 1.5％，p <0.05），而输血的比例更高（55.4％vs 3.8％，OR = 29.9 [10.8-82.6]，p <0.05）。贫血的孕产妇致死率高13倍（OR = 13 [1.5-111]，p <0.05）。新生儿发病率表现为对宫外生活的适应性差（OR = 40.7 [9.1-180.7），P <0.05），营养不良（OR = 21.9 [7.2-67.1]，P <0.05），早产（OR = 6.6 [2.6-16.9] ]，p <0.05），新生儿复苏（OR = 35.4 [10.2-122.5），p <0.05）和新生儿移植（OR = 2.8 [2-4]，p <0.05）。贫血的新生儿致死率高三倍（OR = 3.3 [2.6-4.8]，p <0.05）。结论：贫血女性产妇的母婴预后差。要减少分娩时贫血对母婴的影响，需要在产前接触中及早发现并进行病例管理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号