孕产妇年龄对非洲死胎的影响:系统性审查和元分析
Mengistu Abate1, Mastewal Arefaynie2, Amare Muche3
1Department of Midwifery, College of Medicine and Health Sciences Wollo University Dessie Ethiopia.
Health science reports
|May 24, 2024
概括
高龄的母亲年龄 (35岁及以上) 增加了非洲死产的风险. 这一系统性审查和元分析证实了这一关联,强调了对老年妇女怀孕风险的健康教育的需要.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 低收入和中等收入国家的公共卫生.
背景情况:
- 死产是低收入和中等收入国家的重要公共卫生和发展问题.
- 之前关于母亲年龄和死产风险的研究已经产生了不一致的结果.
- 本系统性审查和元分析解决了关于晚年母亲年龄和死产风险的不确定性.
研究的目的:
- 估计晚龄母亲对非洲死胎的综合影响.
- 提供关于这个主题现有研究的全面分析.
- 为公共卫生战略提供信息,以减轻死产风险.
主要方法:
- 14项主要研究的系统审查和元分析.
- 从PubMed,HINARY和谷歌学者提取的数据.
- 使用 Stata 15 的统计分析,包括异质性和出版偏差评估.
主要成果:
- 高龄的母亲 (≥35岁) 与20-35岁的女性相比,死产的几率增加了1.42倍 (95% CI:1.18,1.71).
- 在包括的研究中,死亡出生率在每1000个出生中从15到146.7不等.
- 观察到,晚年母亲年龄对死产的累积影响同比略有增加.
结论:
- 先进的孕产妇年龄是非洲人口中死产的确诊危险因素.
- 提高健康信息和沟通对于生育年龄的妇女来说至关重要,因为在晚年怀孕的风险很高.
- 公共卫生干预措施应针对与母亲年龄相关的死产的认识和预防策略.
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