美国在产前的结果中的区域差异
Aardra Rajendran1, Yisi Liu2, Theresa M Boyer3
1Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
medRxiv : the preprint server for health sciences
|June 3, 2024
概括
孕前的结果因美国的不同地区而异. 南方的妇女经历了更高的并发症和干预率,包括高血压和末端器官损伤,表明区域医疗保健差异.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 孕前是一种严重的妊娠高血压疾病.
- 预先怀孕的结果和管理的区域差异尚未得到充分理解.
- 了解这些差异对于改善母婴护理至关重要.
研究的目的:
- 探索美国不同地区的孕前结果.
- 检查与孕前相关并发症的区域差异.
- 调查疾病管理策略的区别.
主要方法:
- 利用了来自"孕前注册表"的患者报告数据.
- 分析了2,667个怀孕,按美国地区 (东北部,中西部,南部,西部) 分层.
- 包括血压,并发症和不同地区的干预措施在内的结果比较.
主要成果:
- 在南方和中西部,最大系统血压最高.
- 南方的妇女在怀孕前接受了更多的抗高血压药和产前类固醇,更早地分娩.
- 在南方和西部观察到肝酶升高,并发症和血液溶解的更高率.
结论:
- 在美国,在产前的结果和治疗方面存在显著的区域差异.
- 南方和西方地区的妇女面临更高的孕前并发症负担.
- 需要进一步研究医疗保健准入和政策,以解决这些差异.
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