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亚太地区出生间隔短:系统性审查和元分析
Tahir Ahmed Hassen1, Catherine Chojenta2, Md Nuruzzaman Khan1,3
1Centre for Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Australia.
Journal of global health
|May 3, 2024
概括
短的分娩间隔给母亲和孩子带来健康风险. 这次审查发现亚太地区在定义和测量短分娩间隔方面存在重大不一致,阻碍了有针对性的干预措施.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
背景情况:
- 短的分娩间隔与不利的母亲和儿童健康结果有关.
- 关于亚太地区出生间隔短的证据有限.
- 这项研究综合了该地区出生间隔短的现有证据.
研究的目的:
- 综合关于短出生间隔定义的证据.
- 分析出生间隔短的分类和患病率.
- 确定亚太地区出生间隔短的预测因素.
主要方法:
- 进行了对五个数据库 (MEDLINE,Scopus,CINAHL,产妇和婴儿护理,Web of Science) 的系统审查.
- 包括2000年9月至2023年5月期间发表的研究,重点关注亚太地区.
- 数据被提取并进行了定性和定量合成,并使用Joanna Briggs Institute工具评估了偏差风险.
主要成果:
- 140项研究符合纳入标准,58%的研究定义了出生间隔短,而42%的研究没有.
- 定义各不相同,大多数测量的是从出生到出生或从出生到怀孕的间隔.
- 使用世卫组织的定义,短分娩间隔的综合流行率为33.8% (95% CI:23.0-44.6),具有显著的异质性 (I2=99.9%).
结论:
- 在出生间隔短的定义,测量,分类和患病率方面存在显著差异.
- 缺乏统一的定义阻碍了统一的报告和研究之间的可比性.
- 未来的研究应该专注于标准化定义,以促进有针对性的干预和政策.
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