青少年和母亲年龄较高的妇女的孕产妇和产周结局
Silvana Granado Nogueira da Gama1, Arthur Orlando Corrêa Schilithz2, Maria do Carmo Leal1
1Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Revista de saude publica
|October 22, 2025
概括
青少年母亲接受了不够优的护理,面临更高的风险,而晚龄孕妇 (≥35岁) 则有更多的并发症. 这两个群体都需要专门的注意力,以改善母亲和婴儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 极端的孕妇年龄,特别是青春期和晚年孕妇年龄 (≥35岁),与怀孕中的明显风险有关.
- 了解这些风险对于开发有针对性的干预措施和改善产周护理至关重要.
- 这是一个很棒的节目,这是一个很棒的节目.
- 巴西的出生II:全国堕胎,分娩和分娩调查
- 提供了关于巴西产科实践和结果的宝贵数据.
研究的目的:
- 调查母亲年龄极端 (青春期和晚年母亲年龄) 与母亲和围产期结果之间的关联.
- 为了比较青少年和母亲年龄较高的妇女的结果,与20-34岁妇女的参考组进行比较.
- 确定与分娩年龄极端相关的特定风险和护理差异.
主要方法:
- 利用了来自美国1734名产后妇女的数据.
- 在巴西出生 II II
- 调查 (2021年至2023年) 调查.
- 采用多重逻辑回归分析来评估母亲年龄与各种结果之间的关联.
- 使用20-34岁的女性作为对比的参考组.
主要成果:
- 青少年 (10.1%) 获得了较少的关于参考产妇护理和伴侣存在的指导,并有较低的妊娠糖尿病率.
- 晚期孕产妇年龄 (18.0%) 的妇女有更高的妊娠高血压,妊娠糖尿病,胎盘断裂和严重的孕产妇发病率.
- 青少年面临围产死亡和自发早产的风险增加,而晚年母亲的年龄与低阿普加尔评分和先天性梅毒率较低的风险有关.
结论:
- 与成年女性相比,青少年母亲的护理质量较差.
- 晚年孕妇的怀孕与与年龄有关的并发症的发病率更高有关.
- 对于青少年和晚年孕妇的怀孕,急需加强专业护理,特别是考虑到晚年孕妇分娩的上升趋势.
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