美国妊娠年龄和短期新生儿结局的趋势
Pranita Shenoy1, Fredrick Dapaah-Siakwan2,3
1Pediatric Resident, Valley Children's Healthcare Pediatric Residency Program, Madera, CA, USA.
Journal of perinatal medicine
|March 17, 2025
概括
从2016年到2023年,美国新生儿的妊娠年龄和出生体重下降,导致更多的新生儿重症监护室 (NICU) 住院和呼吸系统问题. 然而,新生儿败血症的抗生素使用减少了.
科学领域:
- 新生儿科学 新生儿科学
- 公共卫生 公共卫生
- 围产期流行病学 围产期流行病学
背景情况:
- 出生时妊娠年龄 (GA) 的趋势会影响新生儿的结果.
- 了解 GA 的转变对于新生儿护理和资源分配至关重要.
- 需要有关GA趋势及其对美国新生儿结局的影响的最新数据.
研究的目的:
- 评估出生时妊娠年龄的变化与辅助呼吸,新生儿重症监护室 (NICU) 入院和新生儿抗生素暴露在美国的趋势之间的关联.
- 分析国家出生数据以确定从2016年到2023年的重大趋势.
主要方法:
- 对国家活产数据 (2016-2023) 的回顾性横截面分析.
- 检查的新生儿重症监护室入院率,辅助通风,表面活性剂的使用和新生儿抗生素暴露率.
- 用线性回归来分析趋势.
主要成果:
- 2016年至2023年间,平均妊娠年龄和出生体重显著下降.
- 新生儿重症监护室的入院率和辅助呼吸率增加.
- 怀疑败血症的新生儿抗生素暴露下降,尽管增加了母亲的chorioamnionitis.
结论:
- 妊娠年龄和出生体重的显著下降与NICU入院率和呼吸道发病率的增加有关.
- 观察到新生儿对败血症抗生素暴露的显著减少.
- 需要进一步的研究来阐明这些观察到的趋势的根本原因.
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