美国女医生学员的怀孕结果:系统性审查
Donya Derakshani1, Luísa de Lima Barbosa Colapietro1, Nadia Islam1
1Mayo Clinic Alix School of Medicine, Phoenix, AZ, United States.
概括
孕期并发症在女性医生学员中很常见,报告的早产和流产率很高. 需要更多的研究来了解医学培训.
科学领域:
- 产科和妇科 产科和妇科
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 在医学培训期间怀孕带来了独特的挑战.
- 关于美国女性医生学员怀孕后果的数据有限.
- 这项研究解决了对这一群体的综合信息的需求.
研究的目的:
- 综合和描述美国女医生学员的怀孕结果和并发症.
- 为了确定居民和研究员所经历的常见妊娠并发症.
- 突出医疗培训期间关于母亲和胎儿健康的当前研究中的差距.
主要方法:
- 对PubMed,Embase,Scopus,Web of Science和Cochrane数据库 (2000-2025) 的系统审查. 这是一个很好的例子.
- 包括对美国女性居民/研究员进行同行评审的英语文章.
- 排除未经同行评审的文章;进行偏见风险评估.
主要成果:
- 包括10篇涉及4,891名实习生的文章;8篇专注于外科实习生.
- 妊娠并发症的发生率从38.9%到56.0%不等.
- 过早分娩 (5.3%-22.9%) 和流产 (20.0%-28.0%) 是最常见的并发症.
结论:
- 孕期并发症在女性医生学员中很常见,但数据有限.
- 目前的研究往往集中在外科实习生身上,并使用自我报告的数据,影响了概括性.
- 需要加强支持和前性研究,以改善生育学员的结果.
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