地震经历对怀孕结果的影响:系统性审查和元分析
Fatih Aktoz1, Ali Can Gunes2, Kayhan Yakin3
1Women's Health Center, American Hospital, Istanbul, Turkey.
European journal of obstetrics, gynecology, and reproductive biology
|October 14, 2023
概括
孕妇接触地震并没有显著改变早产或低出生体重率. 然而,观察到婴儿怀孕年龄较小的婴儿数量显著增加,这表明潜在的不良妊娠结果.
科学领域:
- 环境健康 环境健康
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 孕妇面临自然灾害 (如地震) 的更高风险,包括压力和医疗保健准入问题.
- 关于地震对怀孕结果的影响现有的研究是有限的和不一致的.
- 了解这些影响对于地震事件期间和之后的孕产妇健康至关重要.
研究的目的:
- 系统地审查和分析地震对孕妇影响的证据.
- 估计地震事件对妊娠关键结果的整体影响.
- 确定有关地震暴露和母胎健康的研究缺口.
主要方法:
- 在PubMed和Web of Science进行了系统的文献搜索.
- 包括的研究比较了地震暴露和未暴露的孕妇之间的定量妊娠结果.
- 随机和固定效应模型被用于元分析.
主要成果:
- 在早产 (OR: 1.18) 或低出生体重 (OR: 1.19) 率中没有发现显著差异.
- 在受地震影响的群体中,观察到对妊娠年龄小 (SGA) 婴儿的统计学上显著增加 (OR: 1.25).
- 关于流产和死胎的数据不足以进行元分析.
结论:
- 地震暴露可能与不良妊娠结果有关,特别是SGA婴儿.
- 进一步的研究是必不可少的,以确认SGA风险,并告知灾难准备.
- 需要加强流行病学研究,以了解怀孕期间地震相关的逆境.
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