1996-2021年冰岛死产:发生率和病因学
Ragnheidur I Bjarnadottir1,2, Thora Steffensen3,4, Alexander K Smarason5,6
1Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Acta obstetricia et gynecologica Scandinavica
|September 25, 2025
概括
死亡出生率 (SBR) 由于早产死亡人数减少而下降,但预产死亡人数保持不变. 常见的原因包括带问题和胎盘缺陷,随着妊娠年龄的增加而增加.
科学领域:
- 围产儿医学 围产儿医学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 分析了冰岛1996年至2021年间的死产率 (SBR).
- 使用斯德哥尔摩分类来对死产的原因进行分类.
研究的目的:
- 描述从1996年到2021年在冰岛的SBR.
- 根据妊娠年龄和时间段分析死产的原因.
- 为了比较SBR的变化和随着时间的推移导致的变化.
主要方法:
- 对395例死产病例的回顾性审查.
- 使用斯德哥尔摩分类的死产原因的分类.
- 1996-2008年和2009-2021年之间的死亡出生数据的比较,以及跨妊娠年龄组的数据.
主要成果:
- 总体而言,SBR从4.10下降到2.88/1000个出生 (p=0.009),主要是由于早产死胎的减少.
- 带循环减少和胎盘缺陷是最常见的原因,随着妊娠年龄的增加而增加.
- 由于感染,胎盘断裂和不明原因而导致的死胎减少;然而,那些归因于胎盘不足的死亡人数增加了.
结论:
- SBR的下降是由于早产死胎的减少而导致的,而期内死胎没有变化.
- 胎盘缺陷成为更常见的原因,特别是在晚期怀孕中.
- 这些发现强调了需要解决期内死产的情况,特别是与胎盘缺陷有关的死亡.
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