意外怀孕和严重的孕产妇发病率
Alice Abernathy1, Miatta Goba2, Markolline Forkpa3
1Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, 3737 Market Street, Philadelphia, PA, 19104, United States; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, 19104.
Fertility and sterility
|February 5, 2026
概括
在对9500多例分娩的研究中,意外怀孕与严重孕产妇死亡率 (SMM) 没有联系. 需要进一步的研究来探索高风险人群中细微的怀孕计划行为.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 严重的孕产妇发病率 (SMM) 对孕产妇健康构成重大威胁.
- 了解导致SMM的因素,如怀孕计划,对于有针对性的干预至关重要.
研究的目的:
- 调查意外怀孕与严重孕产妇发病率 (SMM) 发生之间的关联.
主要方法:
- 2019年1月至2019年12月期间单人分娩的回顾性队列研究.
- 在受孕时自我报告的意外怀孕;SMM使用CDC方法确定.
- 统计分析包括完整的案例分析,反向概率加权和多重归算来评估关联,对共变量进行调整.
主要成果:
- 该研究包括9,592例分娩,其中32.8%的患者报告意外怀孕.
- 意外怀孕与SMM没有显著的关联,调整后的几率比 (aOR) 为0.80 (95% CI 0.60-1.09).
- 这种缺乏关联性在各种统计方法中持续存在,用于处理缺失的数据,并在对共变量进行调整后.
结论:
- 在这个队列中,意外怀孕没有显示出与严重孕产妇发病率的统计学意义上的关联.
- 未来的研究应该探索更详细的妊娠规划措施及其与SMM的关系,特别是在高风险群体中.
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