子宫内膜异位症,严重孕产妇发病率和不孕不育的影响:基于人口的队列研究
Maria P Velez1, Orli Chapman2, Olga Bougie2
1Department of Obstetrics and Gynecology, Queen's University, Kingston, ON; ICES, Kingston, ON.
概括
患有子宫内膜异位症的女性面临严重孕产妇发病率 (SMM) 的更高风险. 这种增加的风险与子宫内膜异位症本身有关,而不是不孕或生育治疗.
科学领域:
- 生殖健康 生殖健康
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 子宫内膜异位症是一种慢性疾病,影响生殖年龄的女性.
- 以前的研究表明,子宫内膜异位症和不良妊娠结果之间存在潜在的联系.
- 不孕症和生育治疗作为这种关联中介者的作用需要澄清.
研究的目的:
- 评估子宫内膜异位症和严重孕产妇死亡率 (SMM) 之间的关联.
- 研究不孕症和生育治疗对子宫内膜异位症和SMM关系的调解作用.
主要方法:
- 在加拿大安大略省 (2006-2014) 进行基于人口的队列研究.
- 包括单独的分娩 (n=787,449) 在内.
- 修改Poisson回归和调解分析以评估风险和影响.
主要成果:
- 2.4%的分娩是患有子宫内膜异位症的妇女.
- 患有子宫内膜异位症的女性患SMM的风险增加了43% (aRR 1.43;95% CI 1.31-1.56).
- 调解分析证实了子宫内膜异位症对SMM的直接影响,独立于不孕或生育治疗.
结论:
- 子宫内膜异位症独立地与严重孕产妇发病率的风险增加有关.
- 不孕不育和生育治疗不能调解子宫内膜异位症和SMM之间观察到的关联.
- 这些发现表明子宫内膜异位症本身有助于分娩期间的孕产妇发病率.
关键词:
队列研究是一项队列研究.子宫内膜异位症是什么?子宫内膜异位症是什么流行病学流行病学不孕症 不孕不育 不孕不育 不孕不育怀孕 怀孕 怀孕 怀孕 怀孕监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督更多相关视频
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