旅行母亲:爱尔兰产科单位的产科和新生儿结局
Nessa Hughes1, Stephen W Lindow1, Lynsey Kavanagh2
1Obstetrics and Gynaecology, The Coombe Hospital, Cork St, Dublin, Ireland.
概括
旅行者母亲的怀孕结果被检查,显示出更高的早产率和低出生体重. 怀孕期间吸烟和吸毒被确定为这一群体中早产的关键风险因素.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 新生儿结局的结果.
背景情况:
- 旅行者是爱尔兰的一个少数民族,面临着系统性的歧视,影响健康和社会结果.
- 之前的研究表明,流浪母亲的婴儿死亡率和死产率更高.
- 爱尔兰国家正式承认旅行者的种族发生在2017年.
研究的目的:
- 为了比较旅行母亲和爱尔兰普通人口之间的怀孕和新生儿后果.
- 确定与旅行女性不良怀孕和新生儿后果相关的风险因素.
主要方法:
- 一个对医院数据库记录的回顾性审查.
- 对2013年1月1日至2023年12月31日单子妊娠的分析.
- 对自称旅行者母亲的结果与一般人口的结果进行比较.
主要成果:
- 旅行母亲的年龄较小 (25岁对33岁),BMI较高 (26岁对24.8岁).
- 在旅行者怀孕中观察到早产率 (18.6%与13.3%) 和低出生体重婴儿 (8.4%与5.1%) 的增加.
- 吸烟 (45.6%对比8.9%) 和血缘关系 (24%对比0.88%) 在旅行者母亲中更为普遍.
结论:
- 怀孕期间吸烟和吸毒是早产的独立风险因素.
- 旅行者的种族或血缘关系没有被发现是过早分娩的直接风险因素.
- 针对旅行者妇女的吸烟和物质使用的有针对性的支持可以改善新生儿的结果.
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