与智力或其他发育障碍妇女的不良分娩结果相关的因素
Kyle Bradford Jones1, Isabel K Taylor2, Tyson Schwab1
1Department of Family and Preventive Medicine, University of Utah Spencer Fox Eccles School of Medicine, 240 Morris Ave. #400, South Salt Lake City, UT 84115, USA.
Healthcare (Basel, Switzerland)
|April 12, 2025
概括
智力或发育残疾 (IDDs) 的妇女面临更高的风险对不良的怀孕和分娩结果. 关键因素包括多胎儿,更少的产前访问,以及高血压和精神疾病等母亲健康状况.
科学领域:
- 围产期健康 围产期健康
- 孕产妇健康 孕产妇健康
- 关于残疾人的研究.
背景情况:
- 智力或发育障碍 (IDD) 的妇女在产前护理和产前健康结果方面存在差异.
- 这些差异导致与一般人口相比,出生结果较差.
研究的目的:
- 在怀孕妇女IDDs的特征母性因素.
- 确定与该人口中不良出生结果风险增加相关的特定因素.
主要方法:
- 利用电子医疗记录和犹他州人口数据库.
- 包括14-45岁的怀孕个体,患有IDD.
- 采用随机效应逻辑回归来分析与不利出生结果的关联.
主要成果:
- 多胎妊娠,更少的产前检查,妊娠高血压和精神疾病增加了早产风险.
- 低出生体重与多胎,妊娠高血压,吸烟,更少的产前访问和母亲心理健康障碍有关.
- 剖腹产与妊娠高血压,医疗补助覆盖和妊娠糖尿病有关. 新生儿重症监护室的入院与母亲的年龄,多胎产,产前访问频率,高血压和母亲的精神障碍有关.
结论:
- 社会人口统计学因素和健康问题显著提高了IDD妇女不良怀孕和婴儿后果的风险.
- 有针对性的临床护理和社会支持系统对于改善这一群体的健康和结果至关重要.
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