利用纵向链接的数据集来评估严重孕产妇发病率的复发情况
Hafsatou Diop1, Eugene R Declercq2, Chia-Ling Liu3
1Massachusetts Department of Public Health, Boston, Massachusetts.
概括
在分娩期间经历严重孕产妇死亡率 (SMM) 的妇女面临第二次SMM事件的7.0%风险. 怀孕之间增加的医院利用率可能表明风险增加,需要提供者就预防和警告信号进行咨询.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 严重的孕产妇发病率 (SMM) 是一个关键的公共卫生问题.
- 了解SMM事件发生后的复发风险和相关因素对于改善母亲的结果至关重要.
- 以前的SMM分娩可能会影响随后的怀孕健康.
研究的目的:
- 在初始SMM事件和随后的分娩后,检查第二次严重孕产妇发病 (SMM) 事件的风险.
- 调查患者特征和医院利用情况如何影响复发性SMM的风险.
- 分析SMM事件后怀孕之间的医院利用模式.
主要方法:
- 利用马萨诸塞州基于人口的数据集,将1999年至2018年的出生和医院记录联系起来.
- 包括2814名第一次SMM事件和随后的分娩的个人.
- 评估SMM复发率,比较条件,并分析了医院利用率 (住院,急诊室,观察期间) 和妊娠间隔 (IPI).
主要成果:
- 在2814人中,7.0%的人经历了第二次SMM事件.
- 复发风险因年龄,种族/种族,保险,IPI和高血压史而异.
- 患有第二次SMM事件的个体显示住院患者,急诊室访问和分娩之间的观察停留率显着更高.
结论:
- 在SMM分娩后医院利用率增加可能表明后续SMM事件的风险增加.
- 医疗保健提供者应为患者提供SMM预防的建议,并识别警告信号.
- 对风险分层和干预策略的进一步研究是有必要的.
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