出産方法と母子の再入院との関連性
M Lydon-Rochelle1, V L Holt, D P Martin
1Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195-7262, USA. minot@u.washington.edu
JAMA
|May 18, 2000
まとめ
帝王切開や助産陰道出産は,自発的な陰道出産と比較して,母親の再入院のリスクを高めます. これらの処置を受ける女性は,感染率や他の合併症の発生率が高くなります.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 母親の健康について
- 公衆衛生は公衆衛生である.
背景:
- 出産方法による産後健康への影響に関するデータは限られている.
- アメリカでは毎年約400万人の出産が,健康成果の研究の機会を提示しています.
- 妊産婦の再入院に対する出産方法の影響は十分に研究されていない.
研究 の 目的:
- 帝王切開,助産陰道,および自発的な陰道出産の間の母親の再入院リスクを比較する.
- 異なる配達方法に関連する特定の合併症を特定するために.
- 産後母親の介護を改善するための戦略を策定する.
主な方法:
- ワシントン州の出生記録 (1987年-1996年) を利用した遡及的なコホート研究.
- 慢性疾患のない原発性女性を含む (N=256,795).
- 産後60日以内の再入院を分析し,出産の種類を比較した.
主要な成果:
- 女性の1.2% (3149) が60日以内に再入院した.
- 帝王切開により,感染症,創傷合併症,心肺疾患の再入院リスク (RR 1.8) が増加しました.
- 助産陰道出産は,出血,創傷合併症,骨盤損傷のリスクも増加しました (RR1.3).
結論:
- 帝王切開および助産性陰道分娩は,母親の再入院率が高いことと関連しています.
- 感染性疾患は,これらの配達方法にとって重大な懸念事項である.
- 産周感染症の予防と制御を優先することは,母親の安全にとって極めて重要です.
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