产后再接收风险:死胎和活胎之间的比较
Lena C Sweeney1, Uma M Reddy2, Katherine Campbell1
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
American journal of obstetrics and gynecology
|February 17, 2024
概括
母亲产后再接收风险在死产后比活产后更高,即使考虑到患者的特征. 在死产后,精神健康,物质使用障碍和静脉血栓塞栓症的再入院增加.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 与活产相比,死产与增加的孕产妇发病率和心理社会负担有关.
- 伴随性疾病和产科并发症增加了死产的风险.
- 产后母亲的特殊需求可能会增加产后再接收风险.
研究的目的:
- 为了比较母婴死产和活产之间的产后再接收风险.
- 为了确定死产后再接收的迹象.
- 为了确定与死产后产后再接收相关的风险因素.
主要方法:
- 使用2019年全国再录取数据库进行回顾性队列研究.
- 分析包括单个死胎和怀孕≥20周的活产.
- 多变量回归模型根据人口,临床和分娩特征进行调整.
主要成果:
- 产后再接收率为死胎的2.7%,而活胎的1.6% (aRR 1.27).
- 再入院的迹象不同,精神健康/物质使用障碍和死产后静脉血栓栓塞的比率更高.
- 死产后再入院的危险因素包括妊娠糖尿病,妊娠糖尿病,高血压疾病,肥胖和初级剖腹产.
结论:
- 在死产后,产后再接收的风险明显高于活产后的风险.
- 心理健康/物质使用障碍和静脉血栓塞栓症是死产后更常见的再接收指示.
- 这些发现强调了在死产后需要有针对性的产后护理.
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