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早些时候的劳动的常规诱导 - - 对母亲和儿童发病率的后果
1Department of Economics and Business Economics, Aarhus University, Aarhus V, Denmark.
Health economics
|July 5, 2024
概括
早些时候的劳动诱导指南增加了32-38%的诱导率,但没有显著影响短期或中期的母亲或婴儿健康结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 出生干预率的增加引发了人们对潜在的健康后果的担忧.
- 常规的劳动诱导实践已经发展,需要对其影响进行研究.
研究的目的:
- 调查早期常规劳动诱导对健康的后果.
- 分析更新的丹麦产科指南对诱导率和母婴发病率的影响.
主要方法:
- 利用基于2011年新丹麦产科指南的引入的自然实验设计.
- 分析行政数据以比较指导方针变更前后的结果.
- 检查了母亲和新生儿的分娩诱导率和短期到中期发病率的变化.
主要成果:
- 受到新指南影响的母亲在随后的几年中,诱导风险增加了9-11个百分点 (32%-38%).
- 对于母亲和儿童来说,短期和中期发病率在很大程度上不受指导方针变化的影响.
- 延长产前监测从预期产期过后7天开始实施.
结论:
- 丹麦指导方针转向更早的例行劳动诱导,显著增加了诱导率.
- 尽管诱导率增加,但该研究没有发现对短期或中期母亲或婴儿健康的重大不良影响.
- 研究结果表明,在这些具体的指导方针变化下,早期诱导可能是关于立即健康结果的安全做法.
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