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2005-2021年北欧国家因败血症产妇死亡率:一项描述性研究
Sedina Atic Kvalvik1,2, Hanna Åmark3, Rikke Bek Helmig4
1Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Acta obstetricia et gynecologica Scandinavica
|July 4, 2025
概括
在北欧国家,孕产妇败血症是孕产妇死亡的主要原因. 改善临床管理,包括及时识别和治疗,可以显著降低生殖和非生殖性败血症的死亡率.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 孕产妇败血症是由于怀孕期间或之后的各种感染引起的,是全球孕产妇死亡的一个重要原因.
- 尽管死亡率高,但孕产妇败血症的临床管理策略需要进一步评估.
研究的目的:
- 评估2005年至2021年期间北欧国家因败血症而导致的孕产妇死亡的临床管理.
- 确定在临床处理孕产妇败血症方面需要改进的具体领域.
主要方法:
- 利用了来自北欧母婴死亡率协作 (2005-2021) 的数据,将国家注册表联系起来.
- 通过国家小组对产妇死亡进行了审计,分类原因和护理质量.
- 制定了学习点,以加强未来对孕产妇败血症的临床实践.
主要成果:
- 孕产妇败血症是267例确诊的孕产妇死亡的第五大原因 (9.7%),生殖器和非生殖器感染的发病率相似.
- 标准以下的护理普遍存在,特别是在生殖道败血症 (83%) 和非生殖道败血症 (57%).
- 延迟识别和抗微生物药物治疗是非生殖系统性败血症的关键问题;生殖系统性败血症也受到不充分的源控制的影响.
结论:
- 败血症仍然是北欧地区孕产妇死亡率的一个关键因素.
- 临床干预可以预防三分之一的非生殖和三分之二的生殖道败血症死亡.
- 提高认识和改善临床管理对于减少孕产妇败血症致命结果至关重要.
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