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评估种族和围创伤之间的预后关联:一个系统的审查协议

Haifa Hussein Almalki¹, Fabrice I Mowbray², Susan Buchholz²

¹College of Nursing, Michigan State University, East Lansing, Michigan, USA almalki8@msu.edu.

|September 19, 2025

概括

本系统性审查审查了种族和分娩中围外伤之间的联系. 它综合了证据,以了解出生伤害的种族差异,并告知孕产妇的医疗保健.

科学领域:

产科和妇科产科和妇科
公共卫生公共卫生
流行病学流行病学

背景情况:

围外伤影响了大多数女性的阴道分娩后,导致显著的孕产妇发病率.
虽然种族被认为是危险因素,但种族主义和健康的社会决定因素的作用仍未得到充分研究.
了解这些因素对于解决分娩健康差异至关重要.

研究的目的:

系统地审查和综合关于种族和周围产生的创伤之间的预后关联的证据.
评估种族地位对围创伤发生率和严重性的影响.
识别种族之外的潜在因素,如健康的社会决定因素.

主要方法:

按照PRISMA-P和PROGRESS的指导方针进行系统审查和元分析.
搜索了主要的数据库 (PubMed,CINAHL,Web of Science,Embase) 进行同行评审的观测研究.
使用随机效应模型进行分析,评估ROBINS-I的偏差风险和GRADE的证据确定性.

主要成果:

该审查综合了有关种族地位和周围创伤之间的关联的现有数据.
分析将报告未调整和调整的风险差异,以量化关联.
结果将突出不同种族群体围创伤率的差异.

结论:

种族是与分娩中围外伤相关的重要因素.
需要进一步的研究来探索种族主义和健康的社会决定因素的影响.
调查结果将为减少母亲出生伤害的种族差异策略提供信息.

关键词:

进行元分析分析.自然分娩是一种自然分娩.产后妇女产后妇女创伤是一种创伤.

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