怀孕期间与型肝炎病毒相关的危险因素和不良结果
Moti Gulersen1, Erez Lenchner2, Amos Grunebaum3
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, 6529 Sidney Kimmel Medical College of Thomas Jefferson University , Philadelphia, PA, USA.
Journal of perinatal medicine
|May 29, 2025
概括
孕妇感染C型肝炎病毒 (HCV) 与特定的社会人口统计因素有关,并增加了不良怀孕和新生儿结果的风险,包括早产和低出生体重. 识别有风险的患者对于更好的管理和护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 传染性疾病 传染性疾病
背景情况:
- 肝炎C病毒 (HCV) 感染在怀孕期间存在风险.
- 了解相关的孕产妇因素和新生儿后果对于临床管理至关重要.
研究的目的:
- 评估孕妇的社会人口因素和与孕妇感染HCV相关的不良妊娠结果.
- 在美国大人口群体中确定关键关联.
主要方法:
- 美国疾病控制和预防中心生育活产数据库 (2016-2021) 的回顾性分析.
- 具有和没有母体HCV的怀孕之间的社会人口学因素和怀孕/新生儿结局的比较.
- 多变量逻辑回归用于评估关联并调整混因素.
主要成果:
- 在超过2260万活产婴儿中,0.48%的孕产妇患有HCV感染.
- 感染HCV的怀孕与母亲的晚年,医疗补助保险和吸烟有关.
- 冠状病毒与同时感染 (HBV,梅毒,淋病,克拉米迪亚) 的更高风险相关,早产,低出生体重,先天异常,低Apgar分数,NICU入院和新生儿败血症治疗.
结论:
- 怀孕期间的HCV与特定的社会人口统计因素和新生儿不良结果有关.
- 这些发现有助于识别风险人群,以优化妊娠护理.
- 需要进一步的战略来管理和改善受HCV影响的怀孕的结果.
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