在日本,高孕产妇死亡率与晚年孕产妇年龄有关
Hiroaki Tanaka1, Junichi Hasegawa2, Shinji Katsuragi3
1Department of Obstetrics and Gynecology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. h_tanaka@med.miyazaki-u.ac.jp.
Scientific reports
|August 9, 2023
概括
日本的孕产妇死亡率在40岁及以上的妇女中显著增加. 流血性中风,通常与妊娠前有关,是这个年龄组的主要死亡原因.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 先进的孕产妇年龄 (≥40岁) 与怀孕风险增加有关.
- 了解孕产妇死亡率趋势对于有效的产周护理至关重要.
- 日本面临着关于孕产妇年龄的独特的人口挑战.
研究的目的:
- 调查日本孕产妇年龄与死亡率之间的关系.
- 为了确定老年母亲年龄组的死亡原因.
- 为未来的围产期管理策略提供信息.
主要方法:
- 2010-2021年日本孕产妇死亡数据的分析.
- 按母亲年龄组分类的孕产妇死亡率的分层.
- 详细检查40岁以上妇女死亡原因.
主要成果:
- 随着母亲年龄的增长,孕产妇死亡率显著增加,每年龄组≥40岁达到11.2的峰值.
- 在40岁以上的女性中,出血性中风是最常见的死亡原因 (23%).
- 在54%的病例中,孕前被确定为出血性中风的主要原因.
结论:
- 在日本,老年孕妇的孕产妇死亡率要高得多.
- 流血性中风,往往是二次的高血压疾病,如孕前,是晚期孕产妇年龄怀孕的关键问题.
- 这些发现需要为老年母亲量身定制的产周护理.
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