美国晚期 (28周以上的怀孕期) 死产的危险因素,2014-2015年
Darren Tanner1, Sushama Murthy1, Juan M Lavista Ferres1
1AI for Good Research Lab, Microsoft Corporation, Redmond, WA, United States of America.
PloS one
|August 30, 2023
概括
晚期死产在美国是一个重大问题. 较高的母体体重指数 (BMI) 和胎儿生长限制是关键的危险因素,而营养计划在减少死产负担方面显示出希望.
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:
- 晚期死产 (怀孕28周以上) 在美国影响2.72/1000例出生.
- 种族和母亲年龄等社会人口学因素影响死产风险.
研究的目的:
- 确定晚期死产的可修改风险因素.
- 确定为美国死产负担作出重大贡献的因素.
主要方法:
- 基于人口的回顾性研究,使用美国疾病控制和预防中心的数据 (2014-2015年).
- 分析了超过670万个活产婴儿和18000个胎儿死亡.
主要成果:
- 高母体质量指数 (BMI) 和对于妊娠年龄来说小的婴儿是死产的主要原因.
- 可改变的因素,如延迟产前护理,糖尿病,高血压和吸烟增加了风险,但占比较小.
- 参与WIC计划与死亡出生率减少28%有关.
结论:
- 高母亲BMI和胎儿生长限制是减少死产的关键目标.
- 扩大营养支持计划可以大大降低死产负担.
- 与营养计划一起解决肥胖和胎儿生长限制是减少晚期死胎的关键.
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