第一次与第二次分娩后的孕产妇病发率和持续性:爱尔兰的一项前性队列研究
Francesca Wuytack1,2, Brenda Lynch3,4, Patrick Moran1,2
1School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
产后疾病,如尿失禁和骨盆腰带疼痛,通常在分娩后持续存在,特别是如果在怀孕前经历过. 早期干预对于长期的母亲健康和福祉至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇医学 孕产妇医学
- 公共卫生 公共卫生
背景情况:
- 主要的孕产妇疾病包括尿失禁,便失禁,骨盆腰带疼痛,性健康问题,抑郁和焦虑.
- 之前的研究还没有全面检查两个分娩期间这些情况的持续性.
- 这项研究在评估疾病持续性时考虑了妇女的先前健康史.
研究的目的:
- 评估在第一个和第二个分娩后关键的孕产妇疾病的患病率和持续性.
- 在两个分娩事件中纵向检查一系列孕产妇疾病.
- 根据妇女怀孕前的健康状况来分层结果.
主要方法:
- 对3047名无产妇的前性队列进行了两次怀孕和分娩后期的跟踪.
- 在怀孕早期和第一个出生后的3,6,9和12个月产后进行了调查.
- 第二次分娩后6个月和/或12个月,对254名妇女进行了随访调查.
主要成果:
- 尿失禁在100%的有病史的女性中持续存在,而在没有病史的女性中,这一比例为39.5%.
- 骨盆腰带疼痛显示高持久性 (98.1%对97.0%),无论之前的病史.
- 抑郁症和焦虑症也表现出显著的持续性,特别是在有这些疾病史的女性中.
结论:
- 孕产妇的疾病经常在分娩期间持续存在,预先存在的疾病对其有显著影响.
- 早期识别和有针对性的干预措施对于管理长期的孕产妇健康问题至关重要.
- 这强调了量身定制的产后护理的重要性,特别是对于有母亲病史的妇女.
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