母亲起源问题:出生国家作为产科关节损伤的风险因素
Kristin André1,2, Andrea Stuart1,2, Karin Källén1,3
1Institution of Clinical Sciences, Lund University, Lund, Sweden.
概括
母亲出生的国家在阴道分娩期间显著影响产科关节损伤 (OASIS) 风险. 来自东亚/东南亚和撒哈拉以南非洲的妇女面临更高的OASIS率,而南美洲/中美洲妇女的风险较低.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 产科关节损伤 (OASIS) 是一种具有持久影响的严重分娩并发症.
- 怀疑母亲的起源对OASIS风险的影响,但并未得到充分理解.
研究的目的:
- 调查母亲出生国家与OASIS发病率之间的联系.
- 探索潜在的促成因素,如女性生殖器切割 (FGC).
主要方法:
- 在瑞典 (2005-2016) 进行的一项全国性队列研究分析了单期阴道分娩.
- 修改Poisson回归被用于计算调整后的风险比率 (aRR).
- 数据来源于瑞典医疗出生登记处和瑞典统计局.
主要成果:
- 来自东亚/东南亚 (aR 1.71) 和撒哈拉以南非洲 (aR 1.60) 的女性与瑞典出生的女性相比,OASIS风险显著增加.
- 来自南美洲/中美洲的女性OASIS风险降低 (aRR为0.65).
- 女性生殖器切割 (FGC) 是一个显著的风险因素 (aRR 3.05).
结论:
- 母亲出生的国家是影响OASIS风险的关键因素.
- 特定的起源地区与OASIS发病率的增加或减少有关.
- FGC被确定为OASIS的一个重大风险因素.
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