背景:术语胎膜早破是指妊娠37周以后分娩前的胎膜破裂。几个因素,包括产科,妇科,社会经济,和医学,被确定为潜在的风险因素。该临床事件具有有害的母体和新生儿并发症。
目的:本研究旨在探讨埃塞俄比亚胎膜早破的决定因素。
方法:这项基于机构的无匹配病例对照研究是对2019年10月至2020年1月在圣保罗医院千年医学院住院的246名妇女(82例和164例对照)进行的。使用基于面试官的问卷和数据提取工具收集数据,使用Epi数据3.1输入数据,并使用SPSS20进行分析。使用95%置信区间和P值<0.05的比值比估计自变量与胎膜早破之间的关联。
结果:阴道分泌物史等因素(AOR3.508;95%CI:1.595.7.716),产前护理随访地点(健康中心和埃塞俄比亚仁慈)(AOR5.174;95%CI:2.165,12.362),既往膜破裂史(AOR9.955;95%CI:3.265,20.35),胎龄(AOR3.018;95%CI:1.338,6.811)与足月胎膜早破相关。有更多的产妇和新生儿并发症,包括产褥期败血症,伤口感染,贫血/PPH,住院超过七天,临床羊膜炎,新生儿低血糖,早发性新生儿败血症,和出现胎膜早破的妇女所遇到的呼吸窘迫。
结论:正确的筛查,密切监测,对那些具有已确定风险因素的母亲进行早期干预将有助于减少其负面影响。此外,需要提供持续的专业技能发展和提高ANC服务质量。
BACKGROUND: The term premature rupture of the membranes is the rupture of the membranes before the onset of labor beyond 37 weeks of gestation. Several factors, including obstetric, gynecologic, socioeconomic, and medical, are identified as potential risk factors. This clinical event has detrimental maternal and neonatal complications.
OBJECTIVE: This
study aimed to investigate the determinants of the term premature rupture of the membranes in Ethiopia.
METHODS: This institution-based unmatched case-control
study was conducted on 246 women admitted to Saint Paul\'s hospital millennium medical college from October 2019 to January 2020 (82 cases and 164 controls). Data were collected using an interviewer-based questionnaire and data extraction tools, and data were entered using Epi data 3.1 and analyzed using SPSS 20. The association between independent variables and premature rupture of the membrane was estimated using an odds ratio with 95% confidence intervals and P-value < 0.05.
RESULTS: Factors like a history of vaginal discharge (AOR 3.508;95% CI:1.595.7.716), place of Antenatal care follow-up (health center and Mercy Ethiopia) (AOR 5.174;95% CI:2.165,12.362), the previous history of rupture of membrane (AOR 9.955;95% CI:3.265,20.35), and gestational age (AOR 3.018;95% CI:1.338,6.811) were associated with term premature rupture of membrane. There were more maternal and neonatal complications, including puerperal sepsis, wound infection, anemia/PPH, a hospital stays of more than seven days, clinical amnionitis, neonatal hypoglycemia, early onset neonatal sepsis, and respiratory distress encountered by women who presented with premature rupture of membrane.
CONCLUSIONS: Proper screening, close monitoring, and early interventions in those mothers with identified risk factors would help to reduce its negative consequences. Moreover, the provision of continuous professional skill development and improving the quality of
ANC service is needed.