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孕产妇死亡率和COVID-19大流行:超越SARS CoV-2感染的前景

Ratna Biswas¹, Manju Puri², Abha Singh³

¹Director Professor, Department of Obstetrics and Gynecology, Lady Hardinge Medical College & Sucheta Kriplani Hospital (LHMC & SSKH), Shahid Bhagat Singh Marg, New Delhi, 110001 India.

Journal of obstetrics and gynaecology of India

|March 4, 2024

概括

由于医院分娩减少,COVID-19大流行显著增加了孕产妇死亡率 (MMR). 这些经验教训对于未来的流行病准备和孕产妇健康规划至关重要.

科学领域:

产科和妇科产科和妇科
公共卫生公共卫生
传染性疾病传染性疾病

背景情况:

在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
孕产妇死亡率仍然是医疗保健质量和可获得性的关键指标.

研究的目的:

评估COVID-19大流行对孕产妇死亡率 (MMR) 的影响.
识别疫情期间导致孕产妇死亡的病因和可修改因素.
评估研究期间为母亲护理实施的关键干预措施.

主要方法:

使用了回顾性探索性研究设计.
2020年4月至11月的孕产妇死亡数据 (研究组) 与2019年4月至11月的数据 (对照组) 进行了比较.
分析了人口特征,死亡原因,寻求护理的延迟和干预措施.

主要成果:

在研究小组中,孕产妇死亡率 (MMR) 显著上升 (792比296,p=0.0).
在研究小组中,出血 (20%) 和COVID-19相关死亡 (15%) 是主要原因. 在入院后24小时内发生的死亡比例更高 (45%对20%,p=0.04).
增加的母亲年龄和文盲在研究小组中更为普遍. 在研究小组中,补充氧气的使用量显著增加 (p=0.02).

结论:

随着COVID-19大流行,孕产妇死亡率大幅增加,与医院分娩率的下降有关.
诸如出血,COVID-19感染和护理延迟等因素导致死亡率增加.
记录所学到的经验教训对于改善未来的流行病准备和孕产妇健康战略至关重要.

关键词:

ICD-10MM (国际疾病分类-10 产妇死亡率)关键干预措施主要包括:延迟的程度延迟的程度孕产妇的死亡率孕产妇的死亡率孕产妇死亡率 (MMR) 是指孕产妇死亡率.

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