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Updated: Jan 9, 2026
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对母亲晚年对妊娠和胎儿结果的影响分析
Rômulo Felipe Auler1,2, Ramon Henrique Auler1,2, Ana Clara Machado Teixeira1,2
1Universidade Federal do Rio Grande do Sul Porto AlegreRS Brazil Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
概括
先进的孕产妇年龄 (AMA) 与风险增加有关,包括更多的剖腹产和较低的出生体重. 个性化护理对于老年母亲的更好的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 公共卫生 公共卫生
背景情况:
- 由于社会和医疗因素,产妇晚年 (AMA) 的比例不断上升.
- AMA与对母亲和胎儿的潜在风险有关.
- 需要全面了解AMA怀孕中妊娠和围产期的结果.
研究的目的:
- 为了比较35岁以上的孕妇 (AMA) 与20-34岁的孕妇的妊娠和周产期结果.
- 确定与晚年母亲年龄相关的特定风险和并发症.
- 为公共卫生政策和临床管理策略提供信息.
主要方法:
- 对2012-2022年期间的数据进行了观察性,回顾性分析.
- 使用来自巴西DATAsus的医院生产系统 (SIH/SUS).
- 分析的变量包括妊娠时间,出生体重,APGAR分数和先天异常.
主要成果:
- 在AMA怀孕中,剖腹产的发生率显著更高 (63.3%与58%相比).
- 在AMA中,低出生体重 (12.5%与6.7%) 和早产 (12.99%与8.78%) 的发病率增加.
- 在AMA新生儿中,先天性异常的发病率较高 (1.23%vs0.77%) 和第五分钟APGAR分数较低.
结论:
- 晚年母亲的年龄与妊娠和围产期风险的增加有关.
- 在年长的母亲中观察到更高的早产和剖腹产率.
- 强调需要针对AMA怀孕量身定制的管理和公共卫生倡议.
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