加利福尼亚州对患有脊柱裂的胎儿进行产前护理的利用率
Than S Kyaw1, Natalia Leva2, Debbie Goldberg3
1Medical Scientist Training Program, University of California San Francisco, San Francisco, CA, USA.
BMC pregnancy and childbirth
|July 3, 2025
概括
患有脊柱裂 (SB) 胎儿的妇女获得了更多的产前护理 (PNC),但超过一半的妇女没有获得重症监护. 非私人保险与不充分的护理有关,影响新生儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 新生儿护理 新生儿护理
背景情况:
- 脊柱裂 (SB) 是一种复杂的出生缺陷,需要专门的产前护理.
- 了解产前护理 (PNC) 的利用对于改善受SB影响的怀孕结果至关重要.
- 以前的研究还没有完全阐明SB怀孕中的PNC模式和相关因素.
研究的目的:
- 在有和没有脊柱裂胎儿 (SB) 的妇女之间比较PNC利用率.
- 在携带SB的胎儿的妇女中确定与不充分的PNC相关的因素.
- 检查SB组中PNC利用率与新生儿并发症之间的相关性.
主要方法:
- 使用加利福尼亚州出生数据 (2005-2012) 的回顾性队列研究.
- 在SB与非SB怀孕中比较PNC利用率 (产前护理利用率指数的充分性).
- 利用单变量和多变量分析来确定与不充分的PNC相关的因素,并检查了与新生儿发病率的联系.
主要成果:
- 拥有SB胎儿的女性比对照组 (37%) 强化使用PNC (47%).
- 超过一半 (53%) 的SB胎儿妇女没有接受密集PNC;21%的妇女接受了不充分的护理.
- 非私人保险在SB集团中与不足的PNC (OR 2.3) 有关. 强度PNC与SB婴儿早产和低出生体重的更高率相关.
结论:
- 尽管使用率更高,但大量SB胎儿的妇女缺乏密集的PNC.
- 在SB怀孕中不充分的PNC与非私人保险有关,这表明干预的目标.
- 需要进一步的研究来理解和解决保险状况,PNC和SB的新生儿结果之间的关联.
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