怀孕间隔与随后怀孕中不良分娩结果风险之间的关联:约旦的一项回顾性研究
Heba Hijazi1,2, Mohamad Alameddine1, Rabah M Al Abdi3,4
1Department of Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
短或长的妊娠间隔 (IPI) 会增加早产和低出生体重 (LBW) 的风险. 优化分娩间隔对于改善婴儿健康结果至关重要,并应指导计划生育策略.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 过早分娩和低出生体重 (LBW) 等不良分娩结果是新生儿发病率和死亡率的重要贡献者.
- 怀孕之间的间隔 (IPI) 是影响后续怀孕结果的关键因素.
研究的目的:
- 调查妊娠间隔 (IPI) 与随后怀孕中不良分娩结果 (早产和LBW) 的风险之间的关联.
- 为优化分娩间隔建议提供证据.
主要方法:
- 对630名分娩单独生育婴儿的母亲进行了回顾性分析.
- 使用后勤回归来评估IPI和不良分娩结果之间的关系.
- 从约旦北部的三级医院收集的数据 (2021年3月至8月).
主要成果:
- 与最佳IPI (24-36个月) 相比,短IPI (<24个月) 和长IPI (≥60个月) 与早产和LBW的几率增加显著相关.
- 短IPI显示早产的aOR为4.09,LBW的aOR为3.58.
- 长IPI显示早产的aOR为3.78,LBW的aOR为2.65.
结论:
- 过短或过长的两种妊娠间隔都与不良分娩结果有关,包括早产和LBW.
- 推最佳的分娩间隔对于改善母亲和婴儿健康至关重要.
- 计划生育计划应包括基于证据的分娩间隔指南.
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