在澳大利亚的印度出生的母亲中产周结局
Kanmani Barthasarathy1, Louisa Lam2,3
1McCarthy Learning, Dandenong, VIC, Australia.
BMC pregnancy and childbirth
|August 22, 2023
概括
在澳大利亚,印度出生的母亲面临更高的不良产周结果的风险,包括早产和低出生体重,尽管有积极的健康因素. 需要进一步的研究来确定怀孕期间特定的孕产妇风险因素.
科学领域:
- 孕产妇和胎儿的医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,围产期不良结果对母亲和婴儿健康构成重大风险.
- 了解产科结果的种族差异对于公平的医疗保健至关重要.
- 以前的研究表明,发达国家不同移民群体的风险各不相同.
研究的目的:
- 为了确定不良周产期结局的发生率.
- 为了比较印度出生的母亲与澳大利亚其他母亲的周产期不良结果的风险.
主要方法:
- 这是一项回顾性队列研究,利用了2012年的澳大利亚出生数据和2014年的莫纳什健康分娩结果系统 (BOS) 数据.
- 用SPSS版本23进行数据分析,使用描述性统计数据.
主要成果:
- 印度出生的母亲表现出诱导分娩,紧急剖腹产,非常早产 (20-27周),低出生体重婴儿和低Apgar分数的风险增加.
- 在印度出生的母亲中观察到更高的妊娠糖尿病,甲状腺功能低下,缺铁性贫血和维生素B12缺乏率.
- 尽管存在诸如孕产妇年龄 (25-34岁),结婚,非吸烟身份以及BMI<30等保护因素,但这些高风险仍然存在.
结论:
- 印度出生的母亲面临更高的周产期不良结果的风险,即使没有典型的孕产妇风险因素,并且可以获得优质的澳大利亚产妇护理.
- 需要进行干预研究,以确定在怀孕中期到晚期期间特定的孕产妇风险因素,这些因素有助于这一群体的非常早产和低出生体重.
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