重症孕产妇发病率和输血在分娩期间的复发住院:一个回顾性队列研究
Anne-Sophie van Wingerden1, Yongmei Huang1, Whitney Booker1
1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York City, New York, USA.
以前的严重孕产妇发病率和慢性疾病增加了后期怀孕并发症的风险. 在首次交付期间识别这些因素可以帮助对未来交付的风险分层.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 严重的孕产妇发病率和分娩期间的输血是严重的担忧.
- 了解后续怀孕中这些事件的风险因素对于改善母亲的结果至关重要.
研究的目的:
- 为了确定临床风险因素和产科并发症从一个指数分娩住院预测严重的孕产妇发病率和输血在第二次分娩住院期间.
主要方法:
- 使用2010-2017年纽约州住院患者数据库进行的回顾性队列研究.
- 包括妇女第一次分娩住院后第二次分娩住院.
- 调整后勤回归模型被用于评估索引分娩因子和第二次分娩结果 (严重孕产妇发病率,输血) 之间的关联.
主要成果:
- 严重的孕产妇发病率发生在0.85%的第二次分娩中.
- 严重孕产妇发病率指数 (aOR 8.4),输血 (aOR 2.0) 和孕期糖尿病 (aOR 2.2) 与随后怀孕的严重孕产妇发病率有关.
- 输血指数 (aOR 6.3),严重的孕产妇发病率 (aOR 1.5),慢性心脏病 (aOR 1.6),孕期糖尿病 (aOR 1.7) 增加了在随后怀孕中输血的风险.
结论:
- 在最初的分娩住院期间发现的产科并发症和慢性疾病与随后的分娩中的严重发病率有关.
- 严重孕产妇发病率指数呈现最高风险.
- 结果可以为患者咨询和未来怀孕的风险分层提供信息.
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