並列タイトル等ルワンダ共和国の農村部の病院における妊婦健診と出生時アウトカムの関連
授与機関名Nagasaki University (長崎大学)
一般注記In many economically developing countries, and especially in the rural regions of sub-Saharan African coun-tries, there have been only limited investigations into the association between antenatal care (ANC) and adverse pregnancy outcomes. We obtained information on ANC and pregnancy outcomes between 2011 and 2016 from hospital files of pregnant women (n = 4,960) served at a rural hospital in Rwanda, and we examined the associa-tions between their ANC visits and the adverse pregnancy and neonatal outcomes by using univariate and mul-tivariate logistic regression models to estimate the odds ratios (ORs) and 95% confidence intervals (CIs). Most of the pregnant women had ? 4 ANC visits, but 39% (n = 1,911) did not have ? 3 visits before delivery. The prev-alence of low birth weight (LBW) and that of preterm birth (PTB) were 12% and 9.9%, respectively. Compared to the women who attended only one ANC visit, those who attended ? 4 ANC visits had lower risks of LBW (OR 0.20; 95%CI: 0.11-0.36) and PTB (OR 0.28; 95%CI: 0.11-0.76). Frequent ANC visits were also associ-ated with better postnatal outcomes of the newborns. Encouraging women to attend ANC visits before delivery can markedly reduce PTB-related and LBW-related complications, especially in resource-limited settings.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1284号 学位授与年月日:令和2年9月18日
Author: Calliope Simba Akintije, Takashi Yorifuji, Takayuki Wada, Marie Goret Mukakarake, Leon Mutesa, and Taro Yamamoto
Citation: Acta Medica Okayama, 74(6), pp.495-503; 2020
identifier:Nagasaki University (長崎大学), 博士(医学) (2020-09-18)
http://hdl.handle.net/10069/40355
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