新生儿出生创伤和低收入和中等收入国家的相关因素:系统性审查和元分析
Beshada Zerfu Woldegeorgis1, Amanuel Yosef Gebrekidan2, Gizachew Ambaw Kassie2
1School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
PloS one
|March 21, 2024
概括
新生儿出生创伤在资源较低的环境中仍然是一个重大问题,总的发病率为每1000名活产婴儿中34名. 识别诸如长期分娩和巨等危险因素对于预防至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 全球公共卫生 全球公共卫生
背景情况:
- 新生儿出生创伤的发生率在工业化国家正在下降,但在资源较低的环境中仍然是一个重大负担.
- 在低收入和中等收入国家 (LMICs) 了解出生创伤的流行病学和风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定LMIC中新生儿出生创伤的综合累计发病率.
- 确定导致出生创伤的因素,并描述其临床模式和新生儿后果.
主要方法:
- 对来自多个数据库 (包括PubMed和Scopus) 的37篇英语文章进行了元分析.
- 分析了来自365,547名参与者的数据,使用随机效应的德西莫尼安-莱尔德模型.
- 使用乔安娜·布里格斯研究所的工具进行了质量评估,入选所需的得分为7分或更高.
主要成果:
- 新生儿出生创伤的综合累计发病率为每1000例新生儿中34例,非洲的发病率最高 (1000例中52.9例).
- 确定的危险因素包括农村母亲的居住,长时间的分娩,胎儿表现不良,肩膀缩,手术性阴道分娩和宏观症.
- 针对每个已识别的风险因素,计算了特定的赔率比率.
结论:
- 新生儿出生创伤在LMIC中发生率相当高.
- 早期识别风险因素和及时决定分娩方式可以减轻出生创伤的影响.
- 旨在减少出生创伤的干预措施对于改善这些地区新生儿健康至关重要.
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