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首页> 外文期刊>BMC Pregnancy and Childbirth >Post-traumatic stress disorder and association with low birth weight in displaced population following conflict in Malakand division, Pakistan: a case control study
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Post-traumatic stress disorder and association with low birth weight in displaced population following conflict in Malakand division, Pakistan: a case control study

机译：巴基斯坦马拉卡兰师冲突后流离失所者患者后创伤性应激障碍与低出生体重的关联：案例控制研究

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The northern part of the province of Khyber Pakhtunkhwa in Pakistan experienced armed conflict since September 2007 till the autumn of 2011. Conflict involved widespread insurgency activity and military intervention including in 2009 internally displacing the 2.5 million people of the valley of Swat to live in camps, with relatives, or in rented accommodation across the region for approximately 4?months. It was during this period the current study was conducted to determine whether Post-Traumatic Stress Disorder in pregnant women was independently associated with Low Birth Weight (LBW) in an area affected by conflict and militancy. A case control study was conducted in tertiary care hospitals of district Peshawar, Khyber Pakhtunkhwa. Two hundred twenty-five cases (neonates with birth weight 2.5?kg) were enrolled within 24?h of delivery. Post-Traumatic Stress Disorder was assessed through the MINI Neuropsychiatric Interview 5.0, a validated questionnaire along with the birth weight of the newborn. Maternal anthropometry, anemia and other sociodemographic details were also obtained during data collection. Data was analyzed using statistical package (STATA version 14). Logistic regression analysis of the association between LBW and all variables collected with a p-value of ?0.25 on uni-variate analysis were entered. A total of 450 newborn and mother pairs participated in the study with 225 cases and 225 controls. On univariate analysis factors significantly associated with LBW include: less than 5?years of paternal schooling and PTSD. On logistic regression, PTSD was independently associated with low birth weight in the presence of other factors like maternal/paternal schooling, gravida, history of preterm, BMI of the mother and maternal anemia. PTSD was found to be independently associated with LBW. In light of the current findings and other similar literature, intervention programs should be considered for pregnant women exposed to traumatic events.
机译：自2007年9月以来，巴基斯坦Khyber Pakhtunkhwa北部的北部部分经历了武装冲突，直到2011年秋季。冲突涉及广泛的叛乱活动和军事干预，包括2009年，在营地内存的2.5亿人民境内流离失所，与亲戚，或在整个地区的租房住宿约4个月。几个月。正是在此期间，进行了目前的研究，以确定孕妇的创​​伤后应激障碍是否与受冲突和武力影响影响的区域的低出生体重（LBW）与低出生体重（LBW）相关。案例对照研究是在Peshahtunkhwa区凯威的第三级护理医院进行的。二百二十五件案例（具有出生体重2.5？kg的新生儿）在24次交付中注册。通过迷你神经精神专访后创伤后应激障碍5.0，经过验证的问卷以及新生儿的出生体重。在数据收集期间也获得了母体人类学，贫血和其他社会渗目细节。使用统计包（Stata版本14）分析数据。输入LBW之间关联的逻辑回归分析和用P值收集的所有变量<？0.25上的UNI - 变化分析。共有450名新生儿和母亲对参加了225例和225例控制的研究。在与LBW显着相关的单变量分析因素包括：少于5个？多年的父亲学校教育和应激障碍。在Logistic回归中，PTSD在其他因素存在于其他因素（如母亲/父亲学校教育，Gravida，Braverm），母亲和母体贫血的BMI等因素的情况下独立相关。发现PTSD与LBW独立相关。鉴于目前的调查结果和其他类似的文献，应考虑孕妇暴露于创伤事件的干预计划。

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