出生在无家可归:一个回顾性的观察性研究
C Leahy1, C A Murphy1, R Cullen2
1Rotunda Hospital, Dublin, Ireland.
Public health in practice (Oxford, England)
|December 25, 2024
概括
无家可归的母亲产生的婴儿面临着早产,低出生体重和新生儿病房入院的更高风险. 解决社会不平等问题对于改善脆弱人群的围产期结果至关重要.
科学领域:
- 围产期健康 围产期健康
- 健康的社会决定因素
- 母婴健康 母婴健康
背景情况:
- 无家可归是健康的重要社会决定因素,影响着母亲和婴儿的福祉.
- 脆弱人群在产前和新生儿时期遇到独特的挑战.
研究的目的:
- 为了比较从无家可归的母亲出生的婴儿和一般医院人口之间的产前和新生儿结局.
- 为了识别无家可归的母婴双人组的围产期护理和结果的差异.
主要方法:
- 在爱尔兰的一家三级分娩医院进行的回顾性观察性研究.
- 2020年对143名无家可归的母亲及其145名婴儿的围产期结果的分析.
- 将数据与同一时期生产活产婴儿的普通医院人口进行比较.
主要成果:
- 在无家可归的家庭中出生的婴儿早产率较高 (15%vs7%),出生时体重中位数较低 (3.1kgvs3.4kg).
- 在无家可归的母亲的婴儿中,新生儿单位的入院率明显高 (35%对14%).
- 产后结果包括新生儿诊所预约缺席增加 (29% vs 8%) 和更低的纯母乳养率 (16% vs 45%).
结论:
- 在无家可归的家庭中出生的婴儿不成比例地受到不利的围产因素的影响.
- 在出生前解决社会不平等问题对于减轻弱势婴儿的负面长期结果至关重要.
- 需要有针对性的干预和支持,以改善无家可归的母婴双人组的围产健康.
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