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在产后期急救产妇医院再入院:基于人口的队列研究

Ruth V Pritchett¹, Gavin Rudge¹, Beck Taylor²

¹Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

BJOG : an international journal of obstetrics and gynaecology

|September 18, 2024

概括

在英格兰,从2008年到2016年,急诊产后母亲再接收人数显著增加. 关键的风险因素包括少数民族,年轻或年长的母亲年龄,以及更长的住院时间.

科学领域:

孕产妇健康孕产妇健康
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

在医疗保健系统中,产后母亲的紧急再接收是一个重大问题.
了解趋势和风险因素对于改善母亲的结果和资源分配至关重要.

研究的目的:

分析2007年至2017年期间英格兰紧急产后母亲再接收的趋势.
确定母亲人口统计,产科风险因素和产后住院时间 (LOS) 与再入院率之间的关联.

主要方法:

一项国家队列研究,利用来自国家医院病例统计数据库 (HES) 的数据.
包括从2007年4月到2017年3月在英国国家卫生服务 (NHS) 医院分娩的6,192,140名妇女.
统计分析以确定产后42天内紧急再接收率和相关风险因素.

主要成果:

观察到急诊产后母亲重生病例的大幅增加,从2008年的2.5%上升到2016年的3.4%.
确定的危险因素包括少数民族 (特别是黑人或黑人英国人),孕产妇年龄 (<20或≥40岁),初级,紧急剖腹产和较长的LOS.
特定的产科并发症,如尿路保留和产后伤口分解,与再入院有很强的关联.

结论:

随着急性母婴重生率的上升,需要关注健康不平等问题.
干预措施应优先考虑来自少数民族的妇女,极端年龄组,原生产妇妇女,以及那些已确定产科风险因素的妇女.

关键词:

队列队列队列队列母亲的母亲的母亲.产后的产后的产后再接纳是指重新接纳的情况.

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