美国孕产妇,胎儿和婴儿死亡率的趋势,2000-2023年
Robin Y Park1, Alyssa Bilinski2, Robbie M Parks3
1Department of Engineering, University of Oxford, Oxford, United Kingdom.
JAMA pediatrics
|April 28, 2025
概括
怀孕检查框在COVID-19之前显著增加了孕产妇死亡率. 然而,即使考虑到这一点,孕产妇死亡率在疫情期间增加,特别是在美国原住民和黑人妇女中,突出显示了公共卫生紧急情况的影响.
科学领域:
- 生殖健康 生殖健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 由于数据收集的变化,对产妇死亡率趋势的准确测量受到阻碍.
- 在死亡证明上引入怀孕检查框使趋势分析复杂化.
- 了解孕产妇,胎儿和婴儿死亡率的趋势对于公共卫生至关重要.
研究的目的:
- 分析从2000年到2023年的孕产妇,胎儿和婴儿死亡率趋势.
- 为了确定怀孕检查框对报告的孕产妇死亡率的影响.
- 评估COVID-19大流行对这些死亡率趋势的影响.
主要方法:
- 国家,人口水平,流行病学,横截面分析 (2000-2023年).
- 分级差异分析以评估怀孕检查框效应.
- 利用美国疾病预防控制中心 (CDC) 的WONDER数据库来查找死亡原因的数据.
主要成果:
- 怀孕检查框占了大流行前孕产妇死亡率增加的很大一部分.
- 调整后的孕产妇死亡率在2021年之前保持相对稳定,在疫情期间达到顶峰.
- 美国原住民/阿拉斯加原住民和非西班牙裔黑人妇女的死亡率不成比例地高.
- 婴儿和胎儿死亡率显示总体下降,但最近略有增加.
结论:
- 怀孕检查框显著影响了报告的孕产妇死亡率,掩盖了潜在的趋势.
- 随着COVID-19的流行,孕产妇的健康状况变得更加糟糕,特别是在某些人口群体中.
- 调查结果强调了公共卫生紧急情况期间母亲健康的脆弱性.
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