在早产妇女中产前严重的孕产妇发病率:一项国家队列研究
Julie Blanc1, Elsa Lorthe2, Marie-Pierre Bonnet3
1Department of Obstetrics and Gynecology, Nord Hospital, APHM, Chemin des Bourrely 13015 Marseille, France; Université Paris Cité, CRESS, Obstetric, Perinatal, and Pediatric Epidemiology Research Team, EPOPé, Inserm, INRAE, Paris, France.
European journal of obstetrics, gynecology, and reproductive biology
|February 2, 2025
概括
严重的孕产妇发病率影响六分之一的早产妇女. 许多产前严重孕产妇发病率 (SMM) 在缺乏成人重症监护的设施中分娩,突出了高风险怀孕的孕产妇护理缺口.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 与新生儿结局相比,早产中母亲健康结果的研究不足.
- 在早产妇女中产前严重孕产妇发病率 (SMM) 需要进一步调查.
研究的目的:
- 在过早分娩中识别产前SMM的妇女.
- 评估这些妇女是否在有适当产妇护理设施的医院分娩.
主要方法:
- 法国EPIPAGE-2队列研究 (2011) 的分析,其中包括5690名在22-34周怀孕期间分娩的妇女.
- 产前SMM被定义为在分娩或分娩决定之前发生的严重母亲事件.
- 对于患有和没有产前SMM的妇女,医院分娩特征的比较.
主要成果:
- 16.0%的早产妇女经历了产前SMM,主要是由于高血压疾病或产科出血.
- 产前SMM的妇女更有可能在III级新生儿护理单位分娩 (68.0%对59.3%).
- 显著比例 (18.3%) 的产前SMM妇女在缺乏现场成人重症监护的医院分娩.
结论:
- 产前SMM是一个重大问题,影响了每六个早产妇女中的一个.
- 许多患有产前SMM的妇女在没有完全配备为关键产妇护理的设施中分娩.
- 对于高风险的早产儿,分娩地点的选择必须考虑全面的孕产妇和新生儿护理能力.
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