全民两胎政策对怀孕结果的可能影响
Li-Hua Lin1, Qiuping Lin2, Xiao-Mei Wang3
1Department of Healthcare, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Maternity and Child Health Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, People's Republic of China.
Archives of gynecology and obstetrics
|November 30, 2023
概括
全民两孩政策增加了孕期不良结果,如母亲近期失踪和市政和县政设施中的并发症. 孕产妇风险因素调解了这些政策影响,突出了针对性干预的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生政策 公共卫生政策
- 生殖健康 生殖健康
背景情况:
- 全民两孩政策旨在提高出生率,但其对母亲健康结果的影响需要详细审查.
- 之前的研究还没有充分阐述政策变化与不良妊娠结果相关的机制.
研究的目的:
- 为了比较政策实施前后的孕产妇特征和并发症.
- 评估孕产妇风险因素在政策与不良结果之间的关联中扮演的调解角色.
- 量化归因于该政策的孕产妇并发症负担.
主要方法:
- 利用了中国国家产妇近小姐产科监测系统 (2012-2021) 的数据.
- 采用多变量后勤回归和调解分析来评估政策结果关联和调解效应.
- 计算人口归因分数 (PAF) 来量化并发症负担.
主要成果:
- 在政策实施后,在市级和县级,母亲的近乎失踪和并发症显著增加.
- 孕产妇的风险因素显著介导了该政策对孕产妇近乎失踪和医疗疾病的影响.
- 可归因于人口的分数表明,与政策相关的并发症负担很大,特别是在县级.
结论:
- 全民两孩政策与母亲近期失踪和较低级别设施并发症的增加有关.
- 母亲风险因素在与政策相关的不良妊娠结果中发挥着关键的调解作用.
- 省级医院的护理质量有所提高,通过战略调整减少了不良结果.
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