假期对分娩的影响:对21,869,652个出生记录的基于人口的分析,1979-2018年
Miho Sassa1,2, Ryo Kinoshita2, Yayoi Murano3
1Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
PloS one
|February 14, 2024
概括
假期的出生人数减少,包括高风险的出生人数,如早产和低出生体重的分娩. 近年来,产科的假期效应变得更加明显,影响了孕产妇护理准备.
科学领域:
- 产科和新生儿护理服务
- 公共卫生监督 公共卫生监督
- 生物统计学 生物统计学
背景情况:
- 产妇和新生儿服务需要24/7的准备,以确保安全分娩.
- "假日影响"对分娩结果的存在和程度,特别是在产科中,仍然没有使用大规模数据进行研究.
- 了解出生模式的时间变化对于资源配置和服务规划至关重要.
研究的目的:
- 调查假期与出生率之间的关联,包括高风险分娩,使用全面的日本出生数据集.
- 分析假期对长期出生影响的趋势.
- 评估对孕产妇和新生儿服务准备的影响.
主要方法:
- 分析了一个大规模的数据集,涵盖了日本超过2100万个出生.
- 数据涵盖了四十年,从1979年1月1日到2018年12月31日.
- 统计检查假日和非假日出生人数,并对高风险分层分类 (例如,低出生体重,早产).
主要成果:
- 在节假日观察到的出生总数的统计显著下降.
- 出生率的减少在高危人群中尤为明显,包括低出生体重和早产.
- 在研究期间,高风险分娩的频率有所增加,近年来与假期相关的变化变得更加明显.
结论:
- 在产科中存在明显的"假日效应",导致假日出生的人数减少,特别是高风险的出生.
- 近年来这种效应越来越普遍,这凸显了确保产妇服务人员和准备工作的一致性的潜在挑战.
- 需要进一步的研究,以了解这种现象背后的机制,并制定减轻其对新生儿和母亲护理影响的策略.
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