战争时期的怀孕:有什么后果? 一个审查 一个审查
Amine Bouachba1,2, Guillaume Gorincour3,4, Philippe Charlier5,6,7
1Société Française de fœtopathologie, SOFFOET, Paris, France.
Fetal diagnosis and therapy
|July 24, 2024
概括
武装冲突显著增加了孕妇人口中出生缺陷 (BD) 和产周死亡 (PD) 的风险. 这份综述强调了战时暴露对母亲和婴儿健康结果的持久影响.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 现代冲突带来了超出直接身体伤害的风险,包括化学物质暴露.
- 武装冲突对怀孕的后果是多样化和持久的.
- 最近的事件强调了需要了解战争对母亲和胎儿健康的影响.
研究的目的:
- 审查自第二次世界大战以来主要武装冲突期间怀孕的后果.
- 综合现有的关于战时暴露和出生不良结果的文献.
- 告知孕产妇和胎儿医学专家关于受冲突影响人口的风险.
主要方法:
- 在MEDLINE,Web of Science和Embase数据库中的系统文献搜索.
- 收录标准集中在将围产死亡 (PD) 或出生缺陷 (BD) 与战时联系起来的文章上.
- 分析包括50篇论文,涵盖8个国家和4个主要冲突.
主要成果:
- 在分析冲突期间和之后观察到出生缺陷 (BD) 的持续增加.
- 围产死亡率 (PD) 在冲突期间和之后也显示出增加.
- 所有分析的冲突都表明,战时和不良妊娠结果之间存在联系.
结论:
- 战争期间的暴露与出生缺陷和围产死亡率的增加有关.
- 孕产妇医学专家在管理受冲突影响的人群时必须保持警.
- 需要进一步的研究才能充分阐明长期影响和机制.
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