风险因素和重发性妊娠过度:一个基于人口的记录链接队列研究
Sarah Pont1,2, Diana M Bond1,2, Antonia W Shand1,2,3
1Child Population and Translational Health Research, Children's Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Acta obstetricia et gynecologica Scandinavica
|September 11, 2024
概括
过度重症复发 (HG) 的病史是再次经历它最强烈的预测因素. 这种严重的妊娠状况影响2.3%的怀孕,每年患病率增加.
科学领域:
- 产科和妇科 产科和妇科
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 妊娠中症 (HG) 是一种严重的怀孕中恶心和吐的形式.
- 有限的当代基于人口的数据存在于HG风险因素和趋势.
- 了解HG患病率和复发率对于产妇护理至关重要.
研究的目的:
- 确定澳大利亚新南威尔士州HG的流行率和趋势 (2010-2019).
- 为了确定与HG和多次HG医疗服务访问相关的风险因素.
- 在随后的怀孕中调查HG的复发率.
主要方法:
- 基于人口的记录链接对新南威尔士州 (2010-2019) 出生的队列研究.
- 利用医院和紧急情况数据来识别HG医疗服务访问.
- 采用负二项式回归和强大的波桑模型来分析流行率,趋势和风险因素.
主要成果:
- 在955,107例怀孕中,有2.3%被归类为HG,患病率每年增加6.8%.
- 较年轻的孕产妇年龄,多胎妊娠和先前存在的疾病增加了HG风险.
- 以前的HG是最强的风险因素 (RR 8.92),复发率高 (28.9%在第二次怀孕中,54.7%在第三次怀孕中).
结论:
- 患有妊娠中症过度复发史是复发的最重要危险因素.
- 这些发现对有HG病史的妇女的咨询和护理策略有影响.
- 越来越多的患病率突出显示了需要继续研究和改善高气压管理的需要.
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