一位残疾新母亲和她的新生儿同时使用急诊室
Hilary K Brown1,2,3, Catherine E Varner4,5,6, Yona Lunsky3,7,8
1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
Pediatrics
|September 16, 2025
概括
患有残疾的母亲与婴儿同时使用急诊室 (Co-ED) 的风险更高. 出院后的规划和加强的门诊护理可以支持这些双.
科学领域:
- 公共卫生 公共卫生
- 母婴健康 母婴健康
- 关于残疾人的研究.
背景情况:
- 同时使用急诊室 (Co-ED) 对母婴健康结果产生影响.
- 了解CO-ED风险因素对于有针对性的干预至关重要.
- 预先存在的母亲残疾是共同发育障碍的潜在危险因素.
研究的目的:
- 为了评估母亲残疾和同时使用急诊室 (Co-ED) 之间的关联,在母婴对中.
- 量化身体,感官或智力/发育障碍的母亲中共同发育障碍的风险.
- 为了识别母亲-婴儿二合体中的紧急诊所访问的具体模式.
主要方法:
- 基于人口的队列研究在加拿大安大略省 (2008-2023年).
- 包括1,548,178对母婴,比较那些有和没有母亲残疾的人.
- 多项逻辑回归分析了Co-ED的几率比率 (ORs),经过对共变量进行调整.
主要成果:
- 患有残疾的女性患有联合发育障碍的可能性更高 (5.4%对3.4%;aOR,1.66).
- 孕产妇残疾与仅限于孕产妇的急救诊所 (aOR, 1.38) 和仅限于婴儿的急救诊所 (aOR, 1.20) 的风险增加有关.
- 对于联合ED,母亲和婴儿ED访问之间的中位时间为19天.
结论:
- 同时使用急诊室 (Co-ED) 是一个重大问题,特别是对于残疾母亲来说.
- 大约有20个残疾母亲中的1个经历了共同发育障碍.
- 建议在涉及残疾母亲的双组中加强出院后的规划和门诊护理.
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