在2008年引入产科实践指南后,日本的早产和极早产率的变化
Satoshi Shimano1, Takashi Yamada2, Kazutoshi Cho3
1Department of Obstetrics and Gynecology, Nakashibetsu Municipal Hospital, Nakashibetsu, Hokkaido, Japan.
The journal of obstetrics and gynaecology research
|July 11, 2023
概括
日本 日本 日本 日本 日本.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 生殖医学 生殖医学
背景情况:
- 日本在2008年制定了国家产科指南,规范了护理.
- 过早出生率 (PTBR) 和极度过早出生率 (EPTBR) 在2008年之前呈现上升趋势.
- 社会变化包括增加母亲年龄和生育年龄妇女的就业率.
研究的目的:
- 评估2008年日本产科指南对国家和地区早产率的影响.
- 分析指南实施后早产率 (PTBR) 和极早产率 (EPTBR) 的趋势.
主要方法:
- 在日本 (1979-2021) 分析了超过5000万活产婴儿.
- 用于时间变化的回归分析和重复测量的ANOVA进行区域比较.
- 整合了生殖医学,母亲年龄和就业状况 (2007-2020) 的数据.
主要成果:
- 国家PTBR和EPTBR在2008年之后显著下降.
- 在2007年至2020年期间,整体PTBR为5.68%,EPTBR为0.255%.
- 观察到PTBR和EPTBR的区域差异很大;辅助生殖技术的使用和母亲的年龄增加.
结论:
- 2008年日本产科指南与早产的显著减少有关.
- 尽管国家减少,但区域差异需要有针对性的干预措施.
- 需要进一步研究导致过早分娩区域差异的因素.
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