母亲发病率和并发病率的时间趋势
Yara H Diab1, Jim Huang2, Lea Nehme1
1Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia.
American journal of perinatology
|March 12, 2024
概括
严重的孕产妇发病率 (SMM) 与妊娠相关高血压等孕产妇并发病率的上升一起增加. 管理这些条件是防止SMM的关键.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 严重的孕产妇发病率 (SMM) 是一个重要的公共卫生问题.
- 孕产妇并发症的趋势一直在增加,这可能会影响SMM率.
研究的目的:
- 检查美国SMM的时间趋势.
- 调查SMM趋势与母亲并发症趋势之间的关系.
主要方法:
- 美国出生证明数据 (2011-2021) 的重复横截面分析.
- 通过ICU入院,黄昏症,子宫切除,子宫破裂或输血来定义SMM.
- 使用负二项式回归来计算发病率比率,控制混因素.
主要成果:
- 观察到母亲年龄,肥胖,慢性高血压,糖尿病和与怀孕相关的高血压的显著增加.
- 中小企业的发病率从0.7%上升到1.0% (原始IRR为1.60).
- 怀孕相关的高血压是与SMM增加相关的主要并发症;对SMM的调整趋势并不显著.
结论:
- 增加的孕产妇并发症,特别是与怀孕相关的高血压,似乎推动了SMM的增加.
- 针对怀孕相关高血压的管理和预防的干预措施对于减少SMM至关重要.
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