在英国常规初级保健数据中报告的预孕指标和与健康结果的关联:系统性审查
Danielle Schoenaker1, Elizabeth M Lovegrove2, Emma H Cassinelli3
1School of Human Development and Health, MRC Lifecourse Epidemiology Centre, University of Southampton; National Institute for Health and Care Research (NIHR) Southampton Biomedical Research Centre, University of Southampton; University Hospital Southampton NHS Foundation Trust, Southampton.
概括
常规的初级保健数据可以确定怀孕前的护理需求. 将这些数据与健康结果联系起来,可以减少对母亲和儿童的不良健康结果.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 常规的初级保健数据为了解孕前健康提供了宝贵的资源.
- 它可以为孕前护理服务的开发和提供提供提供信息.
研究的目的:
- 审查初级保健数据对评估怀孕前健康指标的有用性.
- 检查这些指标与母亲/婴儿健康结果之间的关联.
主要方法:
- 一项对利用英国常规初级保健数据的观察性研究的系统综述.
- 搜索确定了15-49岁个体的研究,定义了预孕指标和健康结果.
主要成果:
- 包含了42篇文章,详细介绍了女性患者的37个预孕指标,其中高级孕产妇年龄,以前的剖腹产,超重/肥胖,吸烟,抑郁和焦虑的流行率很高.
- 很少有研究报告男性患者或结局关联. 大多数研究的偏差风险较低,但存在数据限制.
结论:
- 常规收集的英国初级保健数据可以确定患者的怀孕前护理需求.
- 将初级保健数据与其他健康数据集联系起来是未充分利用的,但对于量化优化妊娠前护理对不良结果的影响至关重要.
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