药物使用和毒性 怀孕中的死亡
Andi Camden1, Astrid Guttmann1, Jonathan Zipursky2
1Edwin S.H. Leong Centre for Healthy Children, The Hospital for Sick Children and the University of Toronto, Toronto, Canada; ICES, Toronto, Canada.
概括
怀孕期间的物质使用正在增加,药物毒性导致近四分之一的与怀孕有关的死亡. 对于有物质使用障碍的孕妇和他们的婴儿来说,全面的个性化护理是必不可少的.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 怀孕期间使用物质对孕妇和胎儿都有重大风险.
- 药物毒性越来越令人担忧,导致母亲和婴儿的发病率和死亡率.
- 了解流行病学和风险因素对于有效干预至关重要.
研究的目的:
- 审查当前关于怀孕中物质使用流行病学的文献.
- 确定与怀孕期间药物毒性相关的特征和危险因素.
- 综合有关孕妇使用物质障碍治疗的信息.
主要方法:
- 进行了叙事文学评论.
- 搜索包括PubMed,谷歌学者和谷歌直到2024年2月.
- 重点是最近的英语和加拿大研究.
主要成果:
- 在过去的二十年里,加拿大在怀孕期间的物质使用显著增加.
- 近25%的与怀孕相关的死亡涉及物质使用,这突显了药物毒性的严重性.
- 最常见的是阿片类药物的使用,但与兴奋剂和二类药物的联合使用正在增加.
结论:
- 需要全面,个性化和创伤信息化的护理方法.
- 解决使用物质的孕妇复杂的健康和社会需求至关重要.
- 改善的护理策略对于个人和他们的孩子都是必要的.
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