在2019年冠状病毒疾病 (COVID-19) 流行期间的产科干预和产周结果
Sophie Simon1, Sid John, Sarka Lisonkova
1Department of Obstetrics and Gynaecology, the Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynaecology, and the School of Population and Public Health, University of British Columbia, and the Children's and Women's Hospital and Health Centre of British Columbia, Vancouver, British Columbia, the Departments of Obstetrics and Gynecology and Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, and the Department of Pediatrics, Faculty of Medicine, Université Laval and CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada; the Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Grossman School of Medicine, New York, New York; and the Division of Epidemiology and Biostatistics, Department of Obstetrics, Gynecology, and Reproductive Sciences, the Cardiovascular Institute of New Jersey, and the Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, and the Department of Biostatistics and Epidemiology, Rutgers School of Public Health, and the Environmental and Occupational Health Sciences Institute, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey.
由于COVID-19大流行,产科干预措施 (如早产诱导和剖腹产) 暂时下降. 然而,在此期间,围产期死亡率也出现了令人担忧的,尽管短暂的上升.
科学领域:
- 产科和妇科 产科和妇科
- 围产期健康 围产期健康
- 流行病学 流行病学
背景情况:
- 2019年新冠肺炎 (COVID-19) 疫情对全球的医疗保健系统产生了重大影响.
- 了解它对产科干预和围产期结果的影响对于母亲和婴儿健康至关重要.
- 之前的研究表明,在公共卫生危机期间,日常护理可能会受到干扰.
研究的目的:
- 在COVID-19大流行期间,量化美国产科干预和围产期结果的变化.
- 分析不同风险亚群的这些变化,包括那些有先前存在的疾病的人群.
- 评估这些结果的时间趋势,从大流行前期到大流行开始.
主要方法:
- 一项回顾性研究使用美国国家卫生统计中心数据分析了2015-2021年美国活产和胎儿死亡率.
- 间断时间序列分析检查了早产,催产/剖腹产,宏观体,产后和围产死亡的趋势.
- 分析的重点是所有单身,高风险单身 (先前存在的糖尿病,高血压) 和双胞胎.
主要成果:
- 流行病发作与早产和早产干预的减少相关,但增加了宏观症,产后生育和围产死亡.
- 高风险群体,特别是先前患有糖尿病的单身者,经历了更明显的不良结果.
- 这些与大流行相关的变化在随后的几个月里基本上逆转了.
结论:
- 随着COVID-19大流行的爆发,产科干预措施短暂减少,尤其是早产诱导或剖腹产.
- 在最初的流行病阶段,观察到围产期死亡率的暂时增加.
- 这些发现强调了大流行对产科护理和婴儿结果的直接,尽管是短暂的,影响.
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