严重的孕产妇发病率,包括产后事件,住院治疗
Karen L Schneider1, Keri Calkins1, Patrick Romano2
1Mathematica Inc, Princeton, United States.
American journal of perinatology
|February 26, 2026
概括
当包括产后期在内时,严重孕产妇死亡率 (SMM) 显著增加. 大多数SMM事件发生在分娩后42天内,突出显示需要扩展监测.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 严重的孕产妇发病率 (SMM) 是美国一个关键的公共卫生问题.
- 目前的SMM措施往往不包括产后并发症,可能低估了母亲病率的全部范围.
- 出院后的并发症可能会影响长期健康,死亡率和医疗保健利用率.
研究的目的:
- 为了确定医院出院后发生的SMM事件的频率.
- 为了确定测量SMM的最佳放电后时间窗口.
- 在延长产后期内为有关母亲健康的政策和研究提供信息.
主要方法:
- 使用AHRQ HCUP数据库,分析了来自17个州的2019-2021分娩住院病例.
- 包括住院和急诊室的遭遇,用于SMM的识别.
- 随访延长至2021年,以捕捉出院后的事件.
主要成果:
- 在分娩期间住院期间的SMM率为每10,000次分娩中有87.1次.
- 将测量延长到排放后42天,累计的SMM率增加了32%,达到每10,000人中的115.0.
- 败血症,急性衰竭和凝血病是导致产后并发症的原因,败血症在出院后最常见.
结论:
- 产后期对于全面的SMM测量至关重要.
- 大多数SMM事件发生在分娩后42天内,并且通常在住院治疗.
- 政策和研究应在整个分娩住院和随后的产后期优先考虑母亲健康.
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