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根据2020年1月至2021年12月的记录数据,在COVID-19大流行期间埃及的孕产妇死亡率
Shaimaa Abdallah Gebili1, Norhan Hassan Hekal2, Neamat Hamdy Elsawy3
1Head of Clinical Research Department of Fayoum Government, Ministry of Health and Population, Cairo, Egypt.
Scientific reports
|August 29, 2025
概括
在埃及,COVID-19显著增加了孕产妇死亡率,特别是在2021年和下埃及. 医院推拒绝也是COVID-19相关产妇死亡率的关键预测因素,突显了急需进行干预的需要.
科学领域:
- 公共卫生
- 流行病学
- 妇产科
背景情况:
- 在全球范围内,COVID-19疫情给孕产妇医疗系统带来了前所未有的挑战.
- 了解COVID-19对产妇死亡率的具体影响对于有针对性的公共卫生干预至关重要.
研究的目的:
- 确定2020-2021年埃及COVID-19相关产妇死亡的特征和预测因素.
- 评估2018年至2021年埃及孕产妇死亡率的趋势.
主要方法:
- 在埃及四个省份进行了基于记录的横截面分析研究.
- 分析了541起孕产妇死亡的数据,包括人口统计,死亡原因和医疗保健准入因素.
- 使用多变量分析来确定COVID-19相关的孕产妇死亡率的预测因素.
主要成果:
- 在25.3%的孕产妇死亡中诊断出COVID-19,在75.0%的这些病例中是唯一的原因.
- 与COVID-19相关的孕产妇死亡率的关键预测因素包括2021年,下埃及的居住地和医院推拒绝.
- 埃及的总体孕产妇死亡率 (MMR) 在2018年至2021年间有所增加,具体的省份有显著的增长,尽管全国的增长在统计学上并不显著.
结论:
- 孕产妇死亡人数急剧增加,而COVID-19 是其中一个重要因素.
- 需要有针对性的干预措施来解决孕产妇死亡的直接原因,并改善卫生危机期间获得医疗保健的机会.
- 解决拒绝转诊的情况对于减少可预防的孕产妇死亡至关重要.
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