根据美国残疾状况和类型的严重孕产妇发病率
Ilhom Akobirshoev1, Michael Vetter1, Willi Horner-Johnson1
1Lurie Institute for Disability Policy, Brandeis University, Waltham, and Psychiatry and Population & Quantitative Health Sciences, UMass Chan Medical School/UMass Memorial Health, Worcester, Massachusetts; and the Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon.
O&G open
|September 26, 2025
概括
残疾妇女在分娩期间面临严重孕产妇死亡率 (SMM) 风险的近两倍. 特定类型的残疾,如视力或身体障碍,进一步提高这些风险,突出显示在孕产妇医疗保健的差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 严重的孕产妇发病率 (SMM) 构成了重大的公共卫生挑战.
- 了解SMM的风险因素对于改善母亲的结果至关重要.
- 关于分娩并发症,残疾女性是研究不足的人群.
研究的目的:
- 估计残疾妇女与没有残疾妇女之间严重孕产妇发病率 (SMM) 的风险.
- 分析SMM风险如何因美国分娩住院的残疾类型而异.
主要方法:
- 2016-2021年医疗保健成本和利用项目的全国住院患者样本的回顾性队列分析.
- 使用ICD-10代码识别分娩住院和残疾状况.
- 使用21个CDC指标确定SMM;Poisson回归用于风险估计.
主要成果:
- 在超过430万次分娩中,有3.0%是残疾妇女,她们的SMM率较高 (396/10,000vs177/10,000).
- 对于SMM,残疾女性的调整后相对风险 (aRR) 为1.86.
- 视力 (aRR 3.02) 和身体残疾 (aRR 2.44) 表示SMM风险最高.
结论:
- 残疾妇女在分娩期间经历了显著更高的SMM风险,根据残疾类型而异.
- 孕产妇保健工作必须满足残疾妇女的独特需求.
- 确保公平,符合残疾能力的护理对于减少SMM和产妇死亡率至关重要.
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