在斯洛伐克共和国,严重的孕产妇发病率需要进入重症监护室 - - 这是一项为期9年的基于人口的研究
Ceska gynekologie
|August 29, 2023
概括
需要重症监护室 (ICU) 住院的危及生命的孕产妇病情发生在斯洛伐克每1000例分娩中有1.5例 (2012-2020年). 严重的产后出血和高血压疾病是ICU入院的主要原因.
科学领域:
- 产科和妇科 产科和妇科
- 临界护理医学 临界护理医学
- 公共卫生 公共卫生
背景情况:
- 危及生命的孕产妇疾病构成了重大的公共卫生挑战.
- 进入重症监护室 (ICU) 是严重孕产妇发病率的关键指标.
- 了解严重孕产妇发病率的趋势和原因对于改善产科护理至关重要.
研究的目的:
- 分析2012年至2020年期间斯洛伐克共和国需要接受ICU治疗的危及生命的孕产妇疾病的发病率和原因.
- 确定与严重孕产妇发病率相关的人口和临床因素.
- 为了比较斯洛伐克母亲ICU入院的发病率与国际数据.
主要方法:
- 在2012年至2020年期间,655名母亲从436136名分娩中进入ICU,进行了回顾性分析.
- 将ICU入院原因分为9组,包括产后出血,高血压疾病和败血症.
- 对发病率,母亲人口统计和结果的统计分析.
主要成果:
- 总体而言,母亲入院ICU的发生率为每1000例出生的1.5例,对于罗姆人母亲来说,这一比例明显高 (每1000例出生的8.8例).
- 最常见的ICU入院原因是产后严重出血 (49.3%) 和高血压疾病 (26.0%).
- 在ICU的孕产妇死亡率为2.3%,婴儿死亡率为8.7%.
结论:
- 与国际标准相比,斯洛伐克的孕产妇ICU入院的发生率相对较低.
- 严重的产后出血和高血压疾病是导致需要重症监护的严重孕产妇发病率的主要驱动因素.
- 针对高风险人群的有针对性的干预措施,如罗姆人母亲,是有必要的,以减少母亲发病率的差异.
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