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首页> 外文期刊>International Journal of Reproductive Medicine >Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital
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Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

机译：乌干达农村孕妇膜过早破裂的预测因素：高等教育医院横断面研究

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Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR=0.5, 95% CI: 0.22-0.69, p=0.038) and gestational age of 37 weeks or more (aOR=0.3, 95% CI: 0.14-0.71, p=0.01) while history of 3 or more abortions (aOR=13.1, 95% CI: 1.12-153.62, p=0.05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.
机译：背景。膜（PROM）的过早破裂是发达国家和发展中国家的常见条件，如果没有适当管理，对母亲和胎儿福祉构成严重威胁。本研究阐述了乌干达西部舞会的普遍和预测因素，以指导特定的预防措施。方法。 2019年9月至2019年11月进行了横断面研究设计。连续注册，在Kiu-th的产科病病房中承认的妊娠超过28周的334名孕妇。采访了采访者的问卷来获取数据。进行了描述性统计，然后进行二元逻辑回归。所有数据分析都使用Stata 14.2进行。结果。在招募的334名孕妇中，发现PROM的患病率为13.8％。与促销较低的几率相关的重要独立预测因素在先前注册到研究中的月份没有泌尿道感染（UTI）的历史（AOR = 0.5,95％CI：0.22-0.69，P = 0.038）和37岁的孕龄几周或更长时间（AOR = 0.3,95％CI：0.14-0.71，P = 0.01），而3个或更多次数的历史（AOR = 13.1,95％CI：1.12-153.62，P = 0.05）与较高的可能性有关舞会。结论。主要的尿路感染，低孕期和堕胎影响妇女中膜过早破裂。尤其是紫外线孕妇的连续筛选和迅速治疗患有3个或更多堕胎的妊娠期患者。

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