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评估获得产妇护理的机会:对剖腹产和dystocia的影响

Soo Hyun Kang¹, Minah Park², Jong Youn Moon^3,4

¹Gachon Biomedical and Convergence Institute, Gachon University Gil Medical Center, Incheon, South Korea.

BMC pregnancy and childbirth

|August 22, 2024

概括

在韩国,获得产妇护理的挑战与剖腹产和肌痛的增加有关. 改善获得产科服务的机会对于减少高风险怀孕和并发症至关重要.

科学领域:

公共卫生公共卫生
产科和妇科产科和妇科
医疗保健服务研究医疗服务研究

背景情况:

韩国面临着出生率的下降,并加剧了孕产妇护理可访问性问题.
产妇护理差异越来越令人担忧,影响了分娩干预和妊娠并发症.

研究的目的:

调查产妇护理可及性与怀孕并发症,特别是剖腹产 (剖腹产) 和腹痛之间的关联.
分析韩国的产妇差异,重点关注产科服务不足地区的结果.

主要方法:

在韩国 (2010-2015年) 使用NHIS-NID数据分析了1,437,186例分娩.
由卫生和福利部指定的50个产科服务不足地区 (OUA) 的确定.
使用医疗程序,DRG和ICD-10代码进行物流回归分析,以评估OUA和剖腹产/心经缩率之间的关联.

主要成果:

在全国范围内,服务不足地区的妇女的剖腹产率 (OR:1.11) 和静脉缩率 (OR:1.07) 较高.
在城市地区,居住在OUA增加了剖腹产的几率 (OR:1.16) 和dystocia的几率 (OR:1.10).
这些发现表明,有限的产妇护理和不良妊娠结果之间存在重大联系.

结论:

孕产妇护理设施的不良可用性与肌痛和剖腹产率的增加密切相关.
缺乏足够的接入增加了严重妊娠并发症的风险,突出了现有的差异.
迫切需要采取多方面的干预措施,以解决和减轻获得产妇护理的差异.

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