重复重复的严重孕产妇发病风险:一个基于人口的研究
Ugochinyere Vivian Ukah1, Robert W Platt2, Nathalie Auger3
1Institut national de santé publique du Québec, Montreal, Canada; HealthPartners Institute, Pregnancy and Child Health Research Center, Bloomington, MN; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
American journal of obstetrics and gynecology
|June 10, 2023
概括
患有严重孕产妇疾病的妇女面临着在未来怀孕中再次经历这种疾病的风险明显更高. 这凸显了对这些人进行谨慎的怀孕前咨询和量身定制的产妇护理的需要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康研究研究
- 流行病学 流行病学
背景情况:
- 严重的孕产妇发病率 (SMM) 是孕产妇健康和产科护理质量的关键指标.
- 关于最初发生后在随后的怀孕中经历SMM的风险的数据有限.
研究的目的:
- 量化一次复杂的第一次分娩后在随后的分娩中出现重复的严重孕产妇发病率的风险.
- 确定与SMM复发相关的特定风险因素.
主要方法:
- 一项基于人口的队列研究分析了来自加拿大北克省 (1989-2021) 至少两次单子分娩的819,375名妇女的数据.
- 第一次分娩的严重孕产妇发病率是暴露,第二次分娩的SMM是结果.
- 使用逻辑-二项式回归模型计算调整后的相对风险和95%置信区间.
主要成果:
- 与以前没有SMM的女性相比,在下一次分娩时,SMM的风险是SMM的3.11倍.
- 妇女在第一次分娩时患有三种或更多类型的SMM,复发风险最高 (aRR 5.50).
- 第一次分娩期间的心脏并发症与随后的SMM的最大风险有关.
结论:
- 经历严重的孕产妇发病率显著提高了后续怀孕中复发的风险.
- 这些发现强调了怀孕前咨询和专门的孕产妇护理计划对于有SMM史的妇女的重要性.
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