生育间隔和周产期不良结果的风险:一个元分析
Agustin Conde-Agudelo1, Anyeli Rosas-Bermúdez, Ana Cecilia Kafury-Goeta
1Centro de Estudios e Investigación en Salud and Department of Obstetrics and Gynecology, Fundación Santa Fe de Bogotá, Bogotá, Colombia. condeagu@uniweb.net.co
JAMA
|April 20, 2006
概括
短暂的妊娠间隔 (不到18个月) 和长时间的间隔 (超过59个月) 会增加不良围产期结局的风险. 适当的分娩间隔对于改善母亲和婴儿健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 产科 产科 产科 产科 产科
背景情况:
- 妊娠间隔 (IPI) 与不良的周产期结局有关.
- 由于母亲的特征和社会经济地位的潜在混需要进行调查.
研究的目的:
- 分析分娩间隔与产周期不良结果的相对风险之间的关联.
- 为最佳妊娠间隔提供基于证据的建议.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE等) 的系统文献搜索. 从1966年到2006年,他一直在工作.
- 包含带有调整风险估计的队列,横截面和病例控制研究.
- 进行元回归分析以汇集数据并评估各种IPI的风险估计.
主要成果:
- 妊娠间隔<6个月显示,早产风险显著增加 (OR 1.40),出生体重低 (OR 1.61) 和妊娠年龄小 (OR 1.26).
- 短期 (<18个月) 和长 (>59个月) 的妊娠间隔都与这些不良结果的更高风险有关.
- 风险估计根据母亲的年龄和社会经济地位进行了调整.
结论:
- 怀孕间隔<18个月和>59个月显著与不良围产期结果的风险增加有关.
- 适当的分娩间隔是一个可修改的因素,可以帮助预防不良的围产期结果.
- 研究结果支持推最佳妊娠间隔以改善围产期健康.
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