怀孕期间的无家可归和增加不良结果的风险:一项回顾性队列研究
Emma Gilmore1,2, Karen Duncan3, Veronica Ades3,4
1Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA. emma.gilmore@gmail.com.
概括
怀孕期间的无家可归显著增加了母亲和新生儿不良后果的风险,包括早产和更长时间的重症监护室停留. 针对性干预对于这个脆弱的人群至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 新生儿医学 新生儿医学
背景情况:
- 怀孕期间的无家可归是研究不足的,尽管与不利的孕产妇和新生儿结果的联系.
- 越来越多的医疗保健差异,住房短缺和产妇死亡率凸显了对这一人口的数据需求.
- 了解无家可归的孕妇所面临的挑战,对于制定有针对性的干预措施至关重要.
研究的目的:
- 调查无家可归是不良产科,新生儿和产后结果的危险因素.
- 为了比较无家可归的孕妇的结果与年龄相匹配,稳定的住房对照的结果.
- 确定无家可归的孕妇所面临的特定风险和挑战.
主要方法:
- 在纽约市的一家大型公共医院进行了超过1000次分娩的回顾性审查.
- 无家可归的孕妇和稳定住房的对照组之间的结果比较.
- 评估产科,新生儿和产后结果,包括社会压力因素和个人病史.
主要成果:
- 无家可归的孕妇有更高的剖腹产和早产率.
- 无家可归母亲产生的新生儿更有可能需要重症监护室 (ICU) 住院,并接受儿童服务管理局 (ACS) 的评估.
- 在分娩后,这些患者不太可能专注于母乳养或参加分娩后访问,并且更有可能报告滥用,物质使用或精神病诊断的病史.
结论:
- 无家可归与许多不良的产科,新生儿和产后结果有显著的关联.
- 这些不良结果加剧了健康指数,并加剧了孕妇现有的健康差异.
- 改善外展和护理举措对于支持无家可归的孕妇及其新生儿至关重要.
相关概念视频
Pathophysiology of Diabetes
927
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
927
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Stereotype Content Model
14.7K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.7K
Observational Studies
8.5K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.5K
Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K


