在土著和非土著狼患者之间比较怀孕结果
Johannes C Nossent1,2, Charles Inderjeeth1,2, Helen Keen1,3
1Medical School, The University of Western Australia, Perth, Western Australia, Australia.
Internal medicine journal
|June 10, 2024
概括
澳大利亚土著 (IA) 狼患者的怀孕显示出更高的并发症负担,包括炎和妊娠期糖尿病. 然而,与非土著狼患者相比,活产和早产率相似.
科学领域:
- 生殖健康 生殖健康
- 自免疫性疾病 自免疫性疾病
- 公共卫生 公共卫生
背景情况:
- 狼患者的怀孕增加了母亲和胎儿发病风险.
- 关于澳大利亚土著 (IA) 狼患者怀孕后果的数据有限.
研究的目的:
- 为了比较IA和非土著 (NI) 狼患者之间的怀孕结果.
- 为了确定IA狼怀孕中的特定风险和并发症.
主要方法:
- 利用来自西澳大利亚 (1985-2015) 的全州纵向医院病率数据.
- 分析了702例怀孕:IA狼患者31例,NI狼患者357例.
- 活产,早产和妊娠并发症的比较率.
主要成果:
- 艾滋病性狼患者有更高的先前存在的病率和较低的社会经济地位.
- 虽然选择性终止在NI怀孕中更频繁,但IA怀孕的妊娠糖尿病,炎和感染率明显更高.
- 在IA和NI狼怀孕中,活产 (84.7%vs91.5%) 和早产 (12%vs13.4%) 的发生率相似.
结论:
- 澳大利亚土著狼患者面临更高的并发症负担,包括炎,妊娠糖尿病和感染.
- 尽管伴随性疾病负担较高,但IA和NI狼怀孕之间的早产和活产率相似.
- 需要进一步的研究和有针对性的干预措施来解决IA狼患者在怀孕期间面临的具体健康挑战.
更多相关视频
相关概念视频
Regression Toward the Mean
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Toxoplasmosis
Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...


