泛性和焦点性和怀孕,分娩和新生儿结局:一个回顾性队列研究
Noah Margolese1, Ahmad Badeghiesh2, Haitham Baghlaf3
1Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.
与一般性患者相比,患有焦点的女性患剖腹产的风险更高. 然而,其他妊娠并发症在两种类型之间没有显著差异.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 流行病学 流行病学
背景情况:
- 以前的研究表明,母亲和不良妊娠结果之间存在关联.
- 类型 (一般化与焦点) 对怀孕结果的具体影响需要进一步调查.
研究的目的:
- 为了比较一般性和焦点妇女之间的怀孕结果.
- 确定的类型是否会影响怀孕期间特定的孕产妇和胎儿并发症的风险.
主要方法:
- 使用医疗保健成本和利用计划全国性住院患者样本 (HCUP-NIS) 数据库进行回顾性队列研究.
- 分析了怀孕结果,并使用ICD-9代码对被诊断患有泛性和焦性的妇女进行了比较.
- 统计分析包括调整的几率比率 (aOR) 与95%的置信区间 (CI) 来评估显著差异.
主要成果:
- 与一般性相比,焦点性与剖腹产率显著增加有关 (aOR = 1.27;95% CI = 1.02-1.57;p = 0.030).
- 在其他妊娠结果中没有发现显著差异,包括高血压疾病,妊娠糖尿病,胎盘并发症,早产,产后出血和产妇死亡率.
- 与一般性相比,患有焦点的女性年轻,收入较低,吸烟和非法药物使用率较高,并且更有可能拥有医疗补助保险.
结论:
- 与一般性患者相比,患有焦点的妇女面临剖腹产的风险更高.
- 一般性和焦点性类型似乎不会显著增加其他重大妊娠并发症的风险.
- 需要进一步的研究,以了解焦点中剖腹产率增加的根本原因.
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