围产期死亡率和相关因素的种族差异:全国范围的队列研究
Laura Robinson1, Keelin O'Donoghue1,2, Sara Leitao1,3
1Pregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland.
BJOG : an international journal of obstetrics and gynaecology
|September 12, 2025
概括
爱尔兰的少数民族 (MEG) 面临更高的产前死亡率 (PM),原因包括就业,平等和有限的产前护理. 解决这些差异需要提高孕产妇健康素养和具有文化能力的护理.
科学领域:
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 围产死亡率 (PM) 仍然是一个重大问题,特别是在少数民族 (MEG) 中.
- 了解导致MEG中PM的特定因素对于有针对性的干预至关重要.
- 在MEG和白人人口之间的孕产妇健康结果的差异需要进行调查.
研究的目的:
- 调查爱尔兰少数民族 (MEG) 妇女与围产死亡率 (PM) 相关的因素.
- 为了比较MEG和白人女性之间的PM的特征和结果.
- 确定可能解释MEG在PM数据中的过度代表性的关键差异.
主要方法:
- 进行了一项基于人口的回顾性队列研究.
- 研究人员分析了2011年至2021年间在19个爱尔兰产妇病房的4314例产前死亡病例的数据.
- 使用奇平方测试来比较MEG和白人女性之间的社会人口统计,产科和医疗特征.
主要成果:
- 与白人女性相比,MEG中患有PM的女性更年轻,工作位较低,与白人女性相比,先前怀孕和怀孕并发症的比例更高.
- 在MEG的女性中,有两倍的女性延迟或没有预订产前护理 (怀孕20周后).
- 在MEG女性中,PM的胎盘和产科原因较多,但先天性异常较少.
结论:
- 诸如就业状况,性别平等,BMI和产前护理的准入等因素有助于MEG在产前死亡率数据中的过度代表.
- 建议采取倡议,提高孕产妇健康素养,优化孕前健康状况.
- 确保可访问和文化上有能力的产前护理对于减少差异至关重要.
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