■子宫破裂是最危险的分娩并发症,并导致高孕产妇死亡率。尽管努力改善基本和全面的产科急诊治疗,妇女继续遭受灾难性的产妇后果。
本研究旨在评估Harari地区公立医院子宫破裂妇女的生存状况和死亡率预测因素。埃塞俄比亚东部。
我们在埃塞俄比亚东部公立医院的子宫破裂妇女中进行了一项回顾性队列研究。对所有子宫破裂妇女进行回顾性随访11年。采用STATA14.2版进行统计分析。Kaplan-Meier曲线与Log秩检验一起用于估计生存时间并显示组间差异的存在。Cox比例风险(CPH)模型用于确定独立变量与生存状态之间的关联。
■研究期间有57,006例分娩。我们发现10.5%(95%CI:6.8-15.7)的子宫破裂妇女死亡。子宫破裂妇女的中位恢复时间和死亡时间分别为8天和3天,四分位距(IQR)为7-11天和2-5天,分别。产前护理随访(AHR:4.2,95%CI:1.8-9.79),教育状况(AHR:0.11;95%CI:0.02-0.85),来访健康中心(AHR:4.89;95%CI:1.05-22.88),和入院时间(AHR:4.4;95%CI:1.89-10.18)是子宫破裂妇女生存状况的预测因素。
■十分之一的研究参与者死于子宫破裂。因素包括没有ANC随访,参观健康中心接受治疗,在夜间被录取是预测因素。因此,必须高度重视子宫破裂的预防,卫生机构内部的联系必须顺畅,以在不同专业人员的帮助下提高子宫破裂患者的生存率,卫生机构,卫生局,和政策制定者。
UNASSIGNED: Uterine rupture is the most dangerous complication of labor and contributes to high maternal mortality. Despite efforts to improve basic and comprehensive emergency obstetric treatment, women continue to suffer from disastrous maternal outcomes.
UNASSIGNED: This study aimed to assess the survival status and predictors of mortality among women with uterine rupture at public hospitals in the Harari Region, Eastern Ethiopia.
UNASSIGNED: We conducted a retrospective cohort study among women with uterine rupture in public hospitals in Eastern Ethiopia. All women with uterine rupture were followed for 11 years retrospectively. Statistical analysis was conducted with STATA version 14.2. Kaplan-Meier curves together with a Log rank test were used to estimate the survival time and show the presence of differences among groups. Cox Proportion Hazard (CPH) model was used to determine the association between independent variables and survival status.
UNASSIGNED: There were 57,006 deliveries in the study period. We found that 10.5% (95% CI: 6.8-15.7) of women with uterine rupture have died. The median recovery and death time for women with uterine rupture were 8 and 3 days with interquartile range (IQR) of 7-11 days and 2-5 days, respectively. Antenatal care follow-up (AHR: 4.2, 95% CI: 1.8-9.79), education status (AHR: 0.11; 95% CI: 0.02-0.85), visiting health center (AHR: 4.89; 95% CI: 1.05-22.88), and admission time (AHR: 4.4; 95% CI: 1.89-10.18) were the predictors of survival status of women with uterine rupture.
UNASSIGNED: One out of ten study participants died due to uterine rupture. Factors including not having ANC follow-up, visiting health centers for treatment, and being admitted during the night time were predictors. Thus, a great emphasis has to be given to the prevention of uterine rupture and the linkage within health institutions has to be smooth to improve the survival of patients with uterine rupture with the help of different professionals, health institutions, health bureaus, and policymakers.