产妇护理沙漠与孕产妇和与怀孕有关的死亡率的关联
Rula Atwani1, Lindsay Robbins, George Saade
1Department of Obstetrics and Gynecology, Macon and Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, Virginia.
Obstetrics and gynecology
|June 26, 2025
概括
生活在产妇护理沙漠中显著增加了孕产妇和与怀孕有关的死亡率的风险. 获得产妇护理对于减少这些不良结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 孕产妇和与怀孕相关的死亡率仍然是美国重要的公共卫生问题.
- 在获得医疗保健,特别是产妇护理方面的差异可能导致这些死亡率.
- 了解产妇护理准入水平对死亡率的影响对于有针对性的干预措施至关重要.
研究的目的:
- 评估获得产妇护理的水平与产妇死亡率之间的关联.
- 评估获得产妇护理和与怀孕相关的死亡率之间的关系.
主要方法:
- 2018-2021年美国县级数据的横截面分析.
- 县被分为四个分娩护理准入级别:沙漠,低,中等和完全准入.
- 使用多变量负双项混合效应模型分析的孕产妇和妊娠相关死亡率.
主要成果:
- 与完全接入的县相比,产妇护理沙漠与明显更高的孕产妇死亡率 (32.25对每10万活产的23.62) 相关.
- 在孕产妇护理沙漠,与怀孕相关的死亡率也明显高于孕产妇护理沙漠 (43.82比34.72每10万活产).
- 与完全访问县相比,低和中等访问县在孕产妇或与怀孕有关的死亡率上没有显著差异.
结论:
- 居住在产妇护理沙漠与增加的孕产妇死亡率和与怀孕有关的死亡率有显著的关联.
- 这些发现强调了产妇护理准入对母亲健康结果的关键影响.
- 政策和公共卫生努力应集中在改善服务不足地区获得产妇护理的机会上.
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