从怀孕到产后1年的严重孕产妇发病率
Nansi S Boghossian1, Lucy T Greenberg2, Jeffrey S Buzas3
1Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC (Boghossian).
American journal of obstetrics & gynecology MFM
|May 20, 2024
概括
严重的孕产妇发病病例超出了分娩住院,31%的病例发生在产前或产后,长达365天. 扩大定义可以捕捉到更多的案例,并为风险缓解策略提供信息.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康研究研究
背景情况:
- 对于产后42天以后的严重孕产妇发病率 (SMM) 有有限的研究.
- 了解SMM风险的全部范围对于产妇健康结果至关重要.
研究的目的:
- 分析SMM分布和指标,直至产后365天.
- 通过包括产前和延长产后时期来量化SMM率的增加.
- 评估非输血SMM及其扩大发生率.
主要方法:
- 使用链接出生/胎儿死亡证明和医院出院记录 (2008-2020) 的回顾性队列研究.
- 分析包括SMM,非输血SMM和产前,分娩和产后住院期间的指标,长达365天.
- 通过比较仅交付与延长时间来计算"增加"的SMM案例.
主要成果:
- 2.5%的人经历了SMM,1.4%的人经历了非输血SMM.
- 31%的SMM病例和49%的非输血SMM病例在分娩住院 (长达365天) 之外被发现.
- 产后43-365天之间的SMM占所有SMM病例的12%.
结论:
- 很大一部分SMM和非输血SMM发生在分娩后的住院后,直到分娩后365天.
- 对SMM的定义应该超出分娩住院的范围,以捕捉整个风险期.
- 扩大SMM定义对于识别风险因素和制定有效的缓解策略来改善母亲和婴儿的结果至关重要.
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