产生的方法与母亲再入院之间的关联
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
概括
与自发性阴道分娩相比,剖腹产和辅助性阴道分娩增加了母亲再入院的风险. 接受这些手术的女性面临更高的感染率和其他并发症.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 有限的数据存在于产后健康后果的交付方式.
- 美国每年近400万次分娩为健康结果研究提供了机会.
- 生产方式对孕产妇再住院的影响还未得到充分研究.
研究的目的:
- 为了比较剖腹产,辅助性阴道和自发性阴道分娩之间的母亲再住院风险.
- 为了确定与不同交付方法相关的特定并发症.
- 为改善产后母亲护理的策略提供信息.
主要方法:
- 使用华盛顿州出生记录 (1987-1996) 的回顾性队列研究.
- 包括没有慢性病的原发性妇女 (N=256,795).
- 分析了分娩后60天内的再住院情况,并比较了分娩类型.
主要成果:
- 1.2%的妇女 (3149) 在60天内再次入院.
- 剖腹产增加了因感染,伤口并发症和心肺问题而重新住院的风险 (RR 1.8).
- 辅助性阴道分娩也增加了出血,伤口并发症和骨盆损伤的风险 (RR 1.3).
结论:
- 剖腹产和辅助性阴道分娩与更高的孕产妇再入院率有关.
- 传染性疾病是这些传递方法的一个重大问题.
- 优先预防和控制产周感染对于母亲的安全至关重要.
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