晚年母亲对埃塞俄比亚围产死亡率的影响:系统性审查和元分析
Gemechu Gelan Bekele1, Ephrem Yohannes Roga1, Dajane Negesse Gonfa1
1Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
SAGE open medicine
|October 3, 2023
概括
在埃塞俄比亚,母亲的晚年 (35岁以上) 增加了围产期死亡风险的1.58倍. 医疗保健提供者应该向夫妇提供有关这些风险的建议,以获得更好的妊娠结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产儿医学 围产儿医学
背景情况:
- 先进的孕产妇年龄,定义为35岁以上妇女怀孕,是一个越来越令人担忧的问题.
- 晚年母亲年龄和产前死亡率之间的关联仍然是争论的主题.
- 埃塞俄比亚在解决与晚期怀孕相关的风险方面面临挑战.
研究的目的:
- 系统地审查和对埃塞俄比亚先进的孕产妇年龄和产前死亡率的现有研究进行元分析.
- 提供对晚期母亲年龄怀孕中围产死亡风险的定量估计.
- 为埃塞俄比亚的公共卫生战略和干预提供信息.
主要方法:
- 进行了全面的系统审查和元分析.
- 搜索了多个电子数据库 (PubMed,科学网,Scopus等). 和机构存储库直到2022年3月.
- 采用随机效应模型,从18项纳入研究 (45,541名参与者) 中汇集了几率比率.
主要成果:
- 晚年孕产妇的妇女患产前死亡率的风险高1.58倍 (OR=1.58,95% CI:1.13-2.03).
- 亚组分析表明埃塞俄比亚境内围产期死亡风险的区域差异.
- 奥罗米亚地区的产前死亡率最高,而南方国家民族和人民地区的死亡率最低.
结论:
- 在埃塞俄比亚,先进的孕产妇年龄与日产周围死亡率的风险增加有显著关联.
- 医疗保健提供者和利益相关者必须承认并应对这些风险.
- 专注于对年长的孕妇的意识和咨询的干预计划至关重要.
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