Socio-Epidemiology of Antepartum Fetal Death in Tertiary Hospital in Bangladesh  

作　　者：Syed Muhammad Baqui Billah Muna Shalima Jahan Bounelome Keobouahome Takaaki Kinoue YoshihisaWatanabe Tetsu Watanabe 

机构地区：[1]Tokai University Graduate School of Medicine, Isehara, Kanagawa 259-1193, Japan [2]Shaheed Suhrawardi Medical College, Dhaka 1207, Bangladesh

出　　处：《Journal of US-China Medical Science》2010年第9期46-53,共8页美中医学（英文版）

摘　　要：Objective： To assess socio-epidemiology of Antepartum Fetal Death （AFD） in Bangladesh. Method： Fifty three pregnant women with intra-uterine fetal death before or after delivery were interviewed in gynecology in-patient of Dhaka Medical College Hospital during 2005-2008. Selected socio-demographic factors like age, education, occupation, income etc. and epidemiologic factors like previous stillbirth or congenital anomaly history, antenatal history, and other medical conditions like gestational diabetes and hypertension, urinary tract infection, exposure to trauma, drug or radiation were sought. One hundred and ten mothers with live pregnancy （NAFD） were also interviewed as control. Results： Both groups of respondents were young. AFD mothers were married at an earlier age （0,04）, got pregnant earlier （p=0.05）, were less educated （p〈0.001） as were their husbands （p=0.001）, fell into heavy working group （p=0.01） and had lower family income （p〈0.001） compared to controls. History of stillbirth （p=0.02） and congenital anomaly （0.001） in previous pregnancy were associated significantly with AFD. Less antenatal care （ANC）, antepartum bleeding, gestational diabetes and hypertension, urinary tract infection, fever were significantly associated with AFD group while history of trauma, taking any risky drug or radiation exposure were not associated. On logistic regression adjusted for socio-demographic variables, increased ANC visit appeared protective （OR=0.017, 95%CI=0.003-0.09） whilst history of stillbirth （OR=5.59, 95%CI=1.21-25.79）, pregnancy induced hypertension （OR=7.87, 95%CI=1.79-34.62） were significant predictors with gestational diabetes （OR=12.56, 95%CI=0.85-185.08） being just insignificant. Reversely the model adjusted the epidemiologic factors to found only higher family income （OR： for middle income family=0.21, 95%CI=0.06-0.77 and for high income family=0.30, 95%CI=0.08-1.03） as good predictors of AFD. ANC came out to be the most sign

关 键 词：Antepartum Fetal Death （AFD） socio-epidemiology EPIDEMIOLOGY Bangladesh. 

分 类 号：S858.23[农业科学—临床兽医学] X591[农业科学—兽医学]