战争期间的围产期结果:以色列的一项多中心回顾性队列研究,2022-2024年
Roy Bitan1,2,3, Racheli Magnezi4, Inbal Reuveni5,6
1Department of Management, Health Systems Management Program, Bar Ilan University, Ramat Gan, Israel. roybitan2611@gmail.com.
BMC pregnancy and childbirth
|October 30, 2025
概括
战时暴露增加了孕妇的风险,导致更高的早期膜破裂率 (PROM),早产 PROM (PPROM),妊娠糖尿病 (GDM) 和产后出血 (PPH). 这些怀孕并发症凸显了在冲突期间需要支持的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 精神病体医学是一种精神病体医学.
背景情况:
- 武装冲突严重扰乱了医疗保健,增加了孕妇的心理压力.
- 这种压力会导致不良的怀孕和分娩结果.
研究的目的:
- 评估战时条件对以色列妇女怀孕和分娩结果的影响.
- 为了确定与怀孕期间接触冲突相关的特定并发症.
主要方法:
- 一项回顾性队列研究分析了从2022年10月到2024年4月的30868次分娩.
- 与冲突暴露组 (2023年10月7日以后) 与前一年的对照组进行了比较.
- 使用电子医疗记录和多变量逻辑回归,调整混因素.
主要成果:
- 暴露于冲突的妇女表现出更高的膜早破率 (PROM) (15.4%对11.5%),早产 PROM (PPROM) (3.4%对3%),妊娠糖尿病 (GDM) (10.8%对10.0%),以及产后出血 (PPH) (4.4%对3.6%).
- 在早产率或低出生体重方面没有发现显著差异.
- 多变量分析证实了冲突暴露与PROM,PPROM,GDM和PPH风险增加之间的独立联系.
结论:
- 战时暴露与GDM,PPROM和PPH的风险增加有关.
- 研究结果强调需要对战争相关压力对怀孕的影响进行研究.
- 强调在冲突期间为孕妇提供心理和医疗支持的重要性.
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