怀孕期间血色素变化的孕产妇和产前结果:基于人口的研究
Chengu Niu1, Jing Zhang2, Ido Goldenberg1
1Internal medicine residency program, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.
Clinics and research in hepatology and gastroenterology
|September 29, 2023
概括
患有血染色体的妇女在分娩期间住院时面临高血压疾病和静脉动脉突发症的风险增加. 然而,围产期结局仍然不受影响,这表明需要针对性干预和进一步研究日益增加的发病率.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 血红色,一种铁过载的情况,可以影响各种器官系统.
- 了解它对怀孕的影响对于母亲和婴儿的福祉至关重要.
研究的目的:
- 调查美国分娩住院病例中血液染色体和孕产妇/产周结局之间的关联.
- 分析怀孕期间血红色素病的流行趋势.
主要方法:
- 对超过3600万例美国分娩住院病例 (2010-2019) 的回顾性分析.
- 妇产并发症,围产期结局和患有血红色素病和没有血红色素病的妇女之间的医疗保健利用情况的比较.
主要成果:
- 患有血染色体症的女性住院时间更长,费用更高.
- 妊娠高血压疾病和静脉血栓栓塞 (VTE) 在血红色素病患者的患病率增加.
- 在周产儿出血,剖腹产,早产或胎儿结局方面没有显著差异.
结论:
- 血红色与更高的高血压疾病和怀孕期间VTE的发病率有关.
- 围产期结局没有显著影响,但观察到医疗保健利用率增加.
- 血红色素病的患病率上升需要有针对性的干预措施,并进一步研究其发病率和潜在的差异.
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