在COVID-19大流行期间,怀孕期间高血压疾病的种族差异
Ariel L Lanier1, Hannah M Stump1, Naveena R Daram1
1Boonshoft School of Medicine, Wright State University, Dayton, OH, USA.
Pregnancy hypertension
|March 15, 2024
概括
怀孕诱导的高血压疾病,包括妊娠高血压和子宫前,在COVID-19大流行期间增加. 这些情况甚至在没有COVID-19感染的患者中也增加,突出显示了与大流行有关的健康影响.
科学领域:
- 产科和妇科 产科和妇科
- 流行病学 流行病学
- 传染病流行病学 传染病流行病学
背景情况:
- COVID-19 流行病与各种健康并发症有关.
- 怀孕期间的高血压疾病是孕产妇发病率和死亡率的重要原因.
- 了解大流行对这些疾病的影响对于孕产妇的医疗保健至关重要.
研究的目的:
- 为了比较COVID-19大流行之前和期间妊娠诱导高血压疾病的发生率.
- 分析妊娠高血压,子宫前和慢性高血压的趋势.
- 调查COVID-19感染状况对这些率的影响.
主要方法:
- 一项回顾性研究分析了17,742名在两个医院分娩的患者.
- 在大流行前 (2018年1月至2019年12月) 和大流行期间 (2020年2月至2022年2月) 的数据进行了比较.
- 结果包括妊娠高血压,妊娠前和慢性高血压的发病率,按年,COVID-19状态和人口统计数据进行分析.
主要成果:
- 在大流行期间,慢性高血压的发病率下降了 (7.4%对6.5%),而孕期高血压 (26.3%对27.8%) 和子宫前症 (11.3%对13.1%) 的发病率增加了.
- 孕前症的发病率在第一年大流行期间上升,并保持高位;孕期高血压在第二年增加.
- 患有COVID-19感染的个体有更高的妊娠高血压率 (32.8%对27.4%),但孕前率并没有因感染状态而有所不同.
结论:
- 怀孕引起的高血压疾病,特别是妊娠高血压和子宫前,在COVID-19大流行期间的发病率增加.
- 这些高血压疾病的增加发生不论患者的COVID-19感染状况.
- 这些发现强调了大流行对孕产妇健康结果的更广泛影响.
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