模型开发来预测剖腹产:印度妇女的回顾性研究
Prachi Saoji1, Lakshmi Madireddy2, Ajeet Saoji3
1Department of Mathematics, Ramdeobaba University, Nagpur, Maharashtra, India.
Journal of pharmacy & bioallied sciences
|October 30, 2025
概括
印度的剖腹产风险因素包括城市生活,母亲健康状况不佳,产前护理不足. 预测模型有助于识别高风险妊娠,以获得更好的结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球和印度剖腹产率不断上升,需要确定相关的风险因素.
- 改善孕产妇和新生儿的结果是与分娩方法相关的关键公共卫生问题.
研究的目的:
- 开发和验证剖腹产产生的预测模型.
- 在印度人口中识别孕产妇,临床和社会人口风险因素.
主要方法:
- 病例控制研究涉及190名参与者 (95例剖腹产,95例阴道分娩) 在印度纳普尔.
- 通过结构化采访和医疗记录审查收集数据.
- 对模型性能进行物流回归分析和ROC曲线评估.
主要成果:
- 确定了剖腹产的主要预测因素:城市居住,矮身,肥胖,并发病,不充分的产前护理 (ANC) 和低于贫困线 (BPL) 状态.
- 预测模型显示出良好的区别,AUC为0.835,灵敏度为82%,特异性为78%.
结论:
- 母亲的城市居住,健康状况和不足的ANC是剖腹产的重要预测因素.
- 开发的模型可以作为一种有价值的风险分层工具,用于管理交付模式的临床应用.
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