在COVID-19大流行初期,产科医生对降低早产率的看法
Lucia C Rejzek1, Annette Lee1, Zaira P Leal Hernandez1
1Department of Anthropology, University of California San Diego, United States.
Social science & medicine (1982)
|December 11, 2025
概括
由于COVID-19的封锁,早产儿数量有所下降,可能是由于压力减少和产科护理的改变. 临床医生建议,较少的产前访问可能错过了早产指标,或者疫情前的护理过度医疗化.
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:
- 在全球范围内,在早期的COVID-19封锁期间,早产儿数量显著下降.
- 这种减少在医疗诱导和自发早产中都被观察到.
- 潜在的因素包括产科护理的变化,减少压力,减少感染性暴露.
研究的目的:
- 探索疫情期间临床观点和生殖护理实践的转变.
- 了解这些变化可能是如何影响过早出生率的.
- 分析产前护理人员关于大流行时期产科护理的定性数据.
主要方法:
- 在2023-2024年期间与美国产前护理人员进行了15次半结构化采访.
- 分析了采访数据,以确定与临床观点和护理实践相关的主题.
- 定性研究设计,以获得深入的见解.
主要成果:
- 临床医生假设,减少亲临产前访问可能导致过早诱导的错过指标.
- 另一种假设表明,大流行前的产科实践可能会过度医疗化怀孕.
- 该研究强调了关于减少产前护理影响的不同临床观点.
结论:
- 疫情期间早产率的短期减少缺乏明确的解释.
- 在大流行期间改变产科实践可能影响了分娩结果.
- 需要进一步讨论怀孕中的风险耐受性,美国产科医疗保健结构和分娩结果.
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