与圣多美和普林西比近产期和新生儿死亡相关的因素:前性队列研究
Alexandra Vasconcelos1, Swasilanne Sousa2, Nelson Bandeira3
1Unidade de Clínica Tropical-Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade NOVA de Lisboa, Lisboa, Portugal.
在圣多美和普林西比确定围产和新生儿死亡的因素对于降低死亡率至关重要. 高风险的怀孕,分娩并发症和从其他单位转移显著增加死亡风险.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 公共卫生 公共卫生
背景情况:
- 减少新生儿死亡率是全球卫生重点.
- 影响新生儿死亡的因素在资源有限的环境中未得到充分研究.
- 这项研究是首次调查圣多美和普林西比 (STP) 的围产和新生儿死亡因素.
研究的目的:
- 确定与圣多美和普林西比近产期和新生儿死亡相关的因素.
- 为有针对性的干预提供数据,以减少STP中的新生儿死亡率.
主要方法:
- 在医院的前性队列研究博士艾雷斯·梅内泽斯,STP.
- 随访时间为28天,对母亲与新生儿的二元组 (n=194) 进行了随访.
- 通过怀孕卡,医院记录,采访和电话跟踪收集的数据.
主要成果:
- 高风险的怀孕分数,染液体,长时间的膜破裂,单位间转移和仪器分娩与死亡风险增加有关.
- 感染风险,IUGR,复苏,胎儿痛苦,出生窒息和单位入院也增加了死亡率.
- 女性的性别和出生体重>2,500g是保护因素.
结论:
- 高风险怀孕,分娩并发症和单位间转移显著增加死产和新生儿死亡风险.
- 及时的产后护理和高风险怀孕的管理是减少STP死亡率的关键策略.
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