Spontaneous Abortion During Wartime: A Retrospective Comparative Study.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Israel Medical Association Journal Pub Date : 2025-07-01

Keren Zloto, Gad Segal, Lital Shaham, Shlomit Blumenfeld, Noa Brenner, Shani Steinberg, Roy Mashiah, Dahlia Admon, Eyal Sivan, Alina Weissmann-Brenner

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引用次数: 0

Abstract

Background: In times of war, healthcare systems face the dual challenge of attending to the medical needs of injured soldiers and civilians as well as struggling to meet the everyday healthcare demands of civilians.

Objectives: To assess the correlation between exposure to war and the likelihood of spontaneous abortion (SAB) and to compare it to a similar period in previous years.

Methods: We conducted a retrospective study comparing the rate of SAB during war to the previous years.

Results: During the Iron Swords war, 381 patients out of 3245 (11.74%) were diagnosed with SAB, compared to 530 of 4080 (13%) in 2022, 536 of 3387 (13.8%) in 2021, and 516 of 3798 (13.6%) in 2020. The median gestational age at diagnosis was similar between the groups, with most cases identified during the first trimester. The study group exhibited a significantly higher prevalence of smoking (18.47% vs. 7.75% vs. 6.3% vs. 9.3%, P = 0.03), with no differences in the prevalence of chronic diseases and in the method of pregnancy termination.

Conclusions: Exposure to stress due to war during early pregnancy appears to have no significant impact on the rate of SAB.

本刊更多论文

战时自然流产：回顾性比较研究。

背景：在战争时期，卫生保健系统面临着双重挑战，既要照顾受伤士兵和平民的医疗需求，又要努力满足平民的日常医疗需求。目的：评估战争暴露与自然流产（SAB）可能性之间的相关性，并将其与前几年的类似时期进行比较。方法：我们进行了一项回顾性研究，比较了战争期间SAB与前几年的发病率。结果：在铁剑战争期间，3245例患者中有381例（11.74%）被诊断为SAB，而2022年为4080例患者中有530例（13%），2021年为3387例患者中有536例（13.8%），2020年为3798例患者中有516例（13.6%）。诊断时的中位胎龄在两组之间相似，大多数病例在妊娠早期确诊。研究组吸烟患病率明显高于对照组（18.47% vs. 7.75% vs. 6.3% vs. 9.3%, P = 0.03），而慢性疾病患病率和终止妊娠方式差异无统计学意义。结论：妊娠早期战争应激对SAB发生率无显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Medical Association Journal 医学-医学：内科

CiteScore

2.20

自引率

12.50%

发文量

审稿时长

3-8 weeks

期刊介绍： The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.