根据可能的死因,遵守建议的产前检查时间表与死产风险。

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Tess E.K. Cersonsky , Nina K. Ayala , Nailah S. Tucker , George R. Saade , Donald J. Dudley , Halit Pinar , Robert M. Silver , Uma M. Reddy , Adam K. Lewkowitz
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引用次数: 0

摘要

目的:不理想的产前护理与死胎风险增加有关,但这种关联性尚未得到充分了解。本研究旨在评估产前检查的依从性与死胎死因之间的关系:研究设计:这是死胎合作研究网络对完整死因评估数据的二次分析。产前检查频率的适当性是根据美国妇产科医师学会/美国儿科学会(ACOG/AAP)的建议和新的密歇根妊娠期适当定制医疗保健计划(MiPATH)指南确定的。多变量回归控制了组间差异:结果:在纳入的 451 例死胎中,分别有 63.6% 和 55.9% 的产妇未遵循 ACOG/AAP 和 MiPATH 建议。根据密歇根计划,未遵守建议的产妇更有可能因妊娠高血压疾病而死产:结论:不遵守产前检查指南与妊娠高血压疾病导致死产的风险较高有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adherence to recommended prenatal visit schedules and risk for stillbirth, according to probable cause of death

Objective

Suboptimal prenatal care is linked to increased risk of stillbirth, but this association is not well-understood. The study objective was to evaluate the relationship between prenatal visit adherence and cause of death in stillbirths.

Study Design

This is a secondary analysis from the Stillbirth Collaborative Research Network of data with complete cause of death evaluation. Appropriateness of prenatal visit frequency was determined per American College of Obstetricians and Gynecologists/American Academy of Pediatrics (ACOG/AAP) recommendations and the novel Michigan Plan for Appropriately Tailored Healthcare in Pregnancy (MiPATH) guidelines. Multivariate regression controlled for differences between groups.

Results

Among 451 stillbirths included, 63.6% and 55.9% were non-adherent to ACOG/AAP and MiPATH recommendations, respectively. Non-adherent parturients according to the Michigan plan were more likely to have a stillbirth due to hypertensive disorders of pregnancy.

Conclusion

Non-adherence to prenatal visit guidelines is associated with higher risk of stillbirth due to hypertensive disorders of pregnancy.
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来源期刊
CiteScore
4.60
自引率
3.80%
发文量
898
审稿时长
8.3 weeks
期刊介绍: The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.
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