在拉丁美洲的低资源环境中死产的负担:使用电子监控系统的网络的证据
Bremen de Mucio1, Claudio Sosa1, Mercedes Colomar1
1Latin American Center of Perinatology (CLAP-PAHO), Montevideo, Uruguay.
PloS one
|December 22, 2023
概括
死产与糖尿病和孕产前等孕产妇疾病有关,其比例因医院而异. 针对性的产前和产后护理对于高风险怀孕至关重要.
科学领域:
- 围产期流行病学 围产期流行病学
- 孕产妇健康研究研究
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 死产仍然是一个重要的全球健康问题,特别是在拉丁美洲国家 (LAC).
- 了解与死胎相关的因素对于开发有针对性的干预措施至关重要.
- 医疗机构间死产率的变化需要进行局部分析.
研究的目的:
- 确定拉丁美洲国家 (LAC) 的死产率.
- 调查死产与孕产妇,产周和分娩特征之间的关联.
- 探索拉美美洲地区死产率的地理差异.
主要方法:
- 来自拉丁美洲围产科和人类发展中心 (CLAP) 围产信息系统 (SIP) 数据的分析.
- 在2018年1月至2021年6月期间,包括来自五个LAC国家的8个卫生设施的99,712例分娩.
- 使用千平方测试来评估死产风险的双变量分析,报告患病率 (PR) 和95%置信区间 (CI).
主要成果:
- 总共记录了762例死产,死亡出生率为7.7/1000活产,在各设施有显著的差异 (3.8-18.2/1,000).
- 死产与母亲糖尿病 (PRadj 2.36),孕前 (PRadj 2.01),增加母亲年龄 (PRadj 1.04),任何医疗状况 (PRadj 1.48) 和严重的母亲结果 (PRadj 3.27) 有关.
- 产前死胎占大多数 (76.9%),其次是产后死胎 (19.7%).
结论:
- 妊娠并发症和孕产妇发病率是死产的重要危险因素.
- 观察到的死胎比率的变化凸显了需要个性化监测和量身定制的干预措施.
- 优先考虑专门的产前和产后护理是必不可少的,特别是对于被确定为高风险的女性.
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