产后再接收与严重的孕产妇发病率相关:系统性审查
Wen-Chu Huang1, Ching-Ching Claire Lin2
1Division of Urogynecology, Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan; Department of Nursing, MacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan.
Taiwanese journal of obstetrics & gynecology
|July 2, 2025
概括
患有严重孕产妇发病率 (SMM) 的妇女面临着明显更高的产后再接收风险. 关键因素包括产科出血和高血压疾病,大多数再入院发生在七天内.
科学领域:
- 产科 产科 产科 产科 产科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 严重的孕产妇发病率 (SMM) 确定了孕产妇死亡率之前的危及生命的事件.
- SMM可以在分娩期间发生住院治疗或导致产后再入院 (PPR).
- 患有SMM的妇女面临医疗保健费用增加和长时间住院.
研究的目的:
- 审查并对与SMM相关的产后再接收相关的出版文献进行对比.
- 分析再接收率,时间,诊断和促成因素.
- 发现当前研究中的差距,特别是关于全球人口的差距.
主要方法:
- 在PubMed的文献搜索中,查找2015年至2025年间发表的人口水平研究.
- 在应用排除标准后,包含了11个相关的文章.
- 综合了关于PPR率,时间框架,诊断和相关个人/医院因素的数据.
主要成果:
- 在分娩期间住院期间SMM的PPR率从2.45%到23.7%不等.
- 在产后的一年内,SMM将早期和晚期再入院的风险增加了40-50%.
- 产妇出血和高血压疾病是主要诊断;剖腹产和晚年母亲年龄是重要因素.
结论:
- 患有SMM的妇女有明显更高的再接收风险.
- 大多数与SMM相关的再入院发生在产后七天内.
- 目前的证据以美国为中心,需要对具有高SMM/死亡率的多样化人口进行全球研究.
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