母亲近乎失败:在冠状病毒疾病2019年大流行之前和期间
Cijara Leonice de Freitas1, Ayane Cristine Sarmento1, Kleyton Santos de Medeiros1
1Universidade Federal do Rio Grande Do Norte, Health Sciences Center - Natal (RN), Brazil.
Revista da Associacao Medica Brasileira (1992)
|October 4, 2023
概括
该研究发现,在COVID-19大流行期间,母亲近乎失踪的患病率较低,住院病例较少,但高风险妊娠中死亡率增加. 这突显了孕产妇医疗保健结果的关键变化.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
背景情况:
- 母亲近距离失踪 (MNM) 是医疗保健质量的关键指标.
- COVID-19 疫情对全球的医疗保健系统产生了重大影响.
- 了解大流行期间MNM的变化对于孕产妇健康策略至关重要.
研究的目的:
- 为了比较COVID-19大流行之前和期间的孕产妇近距离失踪 (MNM) 的患病率和结果.
- 在这两个时期确定与MNM和重症监护室 (ICU) 入院相关的因素.
主要方法:
- 这是一项回顾性研究,比较了两段1年的时间:大流行前 (2018年8月至2019年7月) 和大流行 (2020年8月至2021年7月).
- 包括孕妇/产后妇女在产后42天内住院.
- 排除与COVID-19/流感症状住院的孕妇.
- 后勤回归用于分析MNM和ICU入院的关联.
主要成果:
- 在大流行期间,MNM的患病率从大流行前的144.1/1,000活产减少到大流行期间的78.5/1,000活产.
- 与ICU入院相关的流行病前因素包括住院时间,先兆子和败血症.
- 在大流行期间,低教育程度,黄昏症和血液制品的使用与增加ICU入院风险有关.
结论:
- COVID-19大流行与高风险怀孕中母亲近期失踪的发病率降低有关.
- 与大流行前期相比,在大流行期间观察到的住院病例较少,死亡率增加.
- 与流行病相关的变化需要对孕产妇保健协议和资源分配进行重新评估.
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