期内死产的危险因素:一个意大利地区性,前性队列研究
Cristina Salerno1, Beatrice Melis1, Valeria Donno1
1Obstetrics and Gynecology Unit, Mother-Infant and Adult Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy (Drs Salerno, Melis, Donno, Guariglia, Facchinetti, and Monari).
AJOG global reports
|October 23, 2023
概括
预产期死产可以通过识别风险因素来预测,例如对于妊娠年龄的婴儿来说小的和以前的死产. 通过量身定制的产前护理及早发现,可以帮助减少可预防的死产.
科学领域:
- 围产期流行病学 围产期流行病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 期中死产对父母和医疗保健专业人员产生重大影响.
- 识别风险因素对于发达国家制定有针对性的预防战略至关重要.
研究的目的:
- 为了确定与怀孕37周或更晚的死产相关的独立风险因素.
- 为制定特定区域的预防策略提供信息.
主要方法:
- 在意大利埃米利亚-罗马尼亚进行的前性队列研究 (2014-2021).
- 从出生证明和死产监测系统中收集的数据.
- 多变量逻辑回归分析用于识别独立的风险因素.
主要成果:
- 分析了246,437例出生,死亡出生率为1.06/1000.
- 确定了独立的风险因素:对于妊娠年龄 (SGA) 的婴儿来说小,生育治疗,延迟怀孕服务.
- 在多夫妇妇女中,先前的死产和早产也是显著的危险因素.
结论:
- 期内死产的危险因素可以在怀孕早期确定.
- 量身定制的产前管理是实施有效预防策略的关键.
- 通过积极的识别和干预,可以减少可预防的死产.
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