Antenatal Care Visits and Adverse Pregnancy Outcomes at a Hospital in Rural Western Province, Rwanda 74 6

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Antenatal Care Visits and Adverse Pregnancy Outcomes at a Hospital in Rural Western Province, Rwanda 6

Persistent ID (NDL): info:ndljp/pid/11644124

Material type: 博士論文

Author: Akintije, Simba Calliope

Publisher: Okayama University Medical School

Publication date: 2020-09-18

Material Format: Digital

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Name of awarding university/degree: Nagasaki University (長崎大学),博士(医学)

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Note (General)：: In many economically developing countries, and especially in the rural regions of sub-Saharan African coun-tries, there have been only limited investi...

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Material Type: 博士論文
ISSN: 0386-300X
Title: Antenatal Care Visits and Adverse Pregnancy Outcomes at a Hospital in Rural Western Province, Rwanda
Volume: 74 6
Author/Editor: Akintije, Simba Calliope
Author Heading: Akintije, Simba Calliope
Publication, Distribution, etc.: Okayama University Medical School
Publication Date: 2020-09-18
Publication Date (W3CDTF): 2020-09-18
Alternative Title: 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
Periodical title: Acta Medica Okayama
Degree grantor/type: Nagasaki University (長崎大学)
Date Granted: 2020-09-18
Date Granted (W3CDTF): 2020-09-18
Dissertation Number: 甲医歯薬第1284号
Degree Type: 博士(医学)
Conferring No. (Dissertation): 甲医歯薬第1284号
Text Language Code: eng
Subject Heading: antenatal care
epidemiology
low birth weight
preterm birth
rural
Target Audience: 一般
Note (General): 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
Persistent ID (NDL): info:ndljp/pid/11644124
https://dl.ndl.go.jp/pid/11644124
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2021-03-07T02:10:05+09:00
Date Created (W3CDTF): 2020-12-24
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Related Material (URI): http://hdl.handle.net/10069/40355
Periodical Title (URI): http://hdl.handle.net/10069/40467
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp