PDF(Pubmed)
Abstract：
BACKGROUND: Antepartum hemorrhage continues to be a major cause of maternal and perinatal morbidity and mortality in developing countries including Ethiopia and it complicates 2-5% of all pregnancies with an increased rate of maternal and perinatal morbidity and even mortality. Despite many activities, still, poor fetomaternal outcomes of antepartum hemorrhage are still there. Moreover, studies around the current study area emphasize the magnitude and associated factors for antepartum hemorrhage rather than its feto-maternal outcomes. Thus, there is a need to identify the determinants associated with the fetomaternal outcomes of antepartum hemorrhage to guide midwives and obstetricians in the early diagnosis and treatment.
METHODS: An institution-based case-control study was conducted in four-year delivery charts diagnosed with antepartum hemorrhage from April 2, 2022, to May 12, 2022, at Awi Zone public hospitals. To see the association between dependent and independent variables logistic regression model along with a 95% confidence interval (CI) and a p-value of <0.05 were used.
RESULTS: No antenatal care follow-up (AOR: 2.5, 95% CI 1.49-4.2), rural residence (AOR: 1.706, 95%CI 1.09-2.66), delay to seek care >12 hours (AOR: 2.57, 95% CI: 1.57-4.23) and advanced maternal age (AOR: 3.43, 95% CI 1.784-6.59) were significant factors associated with feto-maternal outcomes of antepartum Hemorrhage.
CONCLUSIONS: This study revealed that rural residence, delay in seeking the care of more than 12 hours, not having antenatal care follow up and advanced maternal age were significant factors associated with feto-maternal outcomes of Antepartum hemorrhage.
CONCLUSIONS: The findings of our study suggest the need for health education about the importance of antenatal care follow-up which is the ideal entry point for health promotion and early detection of complications, especially for rural residents.
METHODS: An institution-based case-control study was conducted in four-year delivery charts diagnosed with antepartum hemorrhage from April 2, 2022, to May 12, 2022, at Awi Zone public hospitals. To see the association between dependent and independent variables logistic regression model along with a 95% confidence interval (CI) and a p-value of <0.05 were used.
RESULTS: No antenatal care follow-up (AOR: 2.5, 95% CI 1.49-4.2), rural residence (AOR: 1.706, 95%CI 1.09-2.66), delay to seek care >12 hours (AOR: 2.57, 95% CI: 1.57-4.23) and advanced maternal age (AOR: 3.43, 95% CI 1.784-6.59) were significant factors associated with feto-maternal outcomes of antepartum Hemorrhage.
CONCLUSIONS: This study revealed that rural residence, delay in seeking the care of more than 12 hours, not having antenatal care follow up and advanced maternal age were significant factors associated with feto-maternal outcomes of Antepartum hemorrhage.
CONCLUSIONS: The findings of our study suggest the need for health education about the importance of antenatal care follow-up which is the ideal entry point for health promotion and early detection of complications, especially for rural residents.
摘要：
背景：在包括埃塞俄比亚在内的发展中国家，产前出血仍然是孕产妇和围产期发病率和死亡率的主要原因，它使所有妊娠的2-5％复杂化，孕产妇和围产期发病率甚至死亡率增加。尽管有许多活动,仍然,产前出血的胎儿结局仍然不佳。此外，围绕当前研究领域的研究强调了产前出血的严重程度和相关因素,而不是胎儿-产妇结局.因此，有必要确定与产前出血胎儿结局相关的决定因素,以指导助产士和产科医生的早期诊断和治疗.
方法：对2022年4月2日至2022年5月12日在AwiZone公立医院诊断为产前出血的四年分娩表进行了基于机构的病例对照研究。为了观察因变量和自变量之间的关联，使用了逻辑回归模型以及95％置信区间（CI）和<0.05的p值。
结果：无产前护理随访（AOR：2.5，95%CI1.49-4.2），农村住宅(AOR：1.706，95CI1.09-2.66)，>12小时(AOR:2.57,95%CI:1.57-4.23)和高龄产妇(AOR:3.43,95%CI1.784-6.59)是与产前出血的母婴结局相关的重要因素.
结论：这项研究表明，农村居民，延迟寻求超过12小时的护理，未进行产前护理随访和高龄是与产前出血的母婴结局相关的重要因素.
结论：我们的研究结果表明，需要进行健康教育，了解产前护理随访的重要性，这是促进健康和早期发现并发症的理想切入点。特别是农村居民。
方法：对2022年4月2日至2022年5月12日在AwiZone公立医院诊断为产前出血的四年分娩表进行了基于机构的病例对照研究。为了观察因变量和自变量之间的关联，使用了逻辑回归模型以及95％置信区间（CI）和<0.05的p值。
结果：无产前护理随访（AOR：2.5，95%CI1.49-4.2），农村住宅(AOR：1.706，95CI1.09-2.66)，>12小时(AOR:2.57,95%CI:1.57-4.23)和高龄产妇(AOR:3.43,95%CI1.784-6.59)是与产前出血的母婴结局相关的重要因素.
结论：这项研究表明，农村居民，延迟寻求超过12小时的护理，未进行产前护理随访和高龄是与产前出血的母婴结局相关的重要因素.
结论：我们的研究结果表明，需要进行健康教育，了解产前护理随访的重要性，这是促进健康和早期发现并发症的理想切入点。特别是农村居民。
