改善妊娠流产后结果的干预措施:系统性审查
Becky MacGregor1, Samuel Madejowski2, Helen Leach3
1Applied Health Sciences, University of Birmingham, Birmingham, UK.
BJOG : an international journal of obstetrics and gynaecology
|October 17, 2025
概括
有限的研究存在对妇女经历流产的干预措施. 目前的证据只关注心理健康,突出强调对身体健康和未来怀孕结果的研究迫切需要.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 围产儿医学 围产儿医学
背景情况:
- 死产,第二个月的流产和反复流产显著影响女性的健康.
- 缺乏高质量的证据来证实在下放后的干预措施.
- 在PROSPERO注册:CRD42022360264. 在PROSPERO注册:CRD42022360264.
研究的目的:
- 评估改善孕产后妇女整体健康的干预措施.
- 评估改善后续怀孕结果的干预措施.
- 专注于非孕妇死产后,流产或反复流产的女性.
主要方法:
- 从1995年开始搜索的数据库 (更新至2024年3月).
- 包括非孕妇出院后提供的干预措施.
- 选了18603个摘要,评估了196个全文,包括15篇论文.
- 使用叙事合成和评估偏差风险 (RoB-2,ROBINS-I,MM工具).
主要成果:
- 发现证据质量不佳.
- 由于证据有限,主要研究目标未实现.
- 所有包括的研究都专注于改善心理健康.
- 没有研究涉及身体健康或随后的怀孕结果.
结论:
- 在流产后出院后的护理方面存在显著的证据缺口.
- 迫切需要研究有效的干预措施.
- 研究的目标应该是改善妇女的短期和长期健康状况以及未来怀孕的结果.
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