{"title":"伊朗孕妇产科出血和创伤的季节性趋势和急诊入院情况。","authors":"Elham Nazari, Rizwana Biviji, Fateme Sistanian, Fazilat Biviji, Cauveri Gurav-Kolhar, Zahra Ebnehoseini, Reza Akhavan, Hamed Tabesh","doi":"10.1007/s10995-024-04022-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Globally, obstetric hemorrhage and trauma are the leading causes of maternal and fetal morbidity and mortality during pregnancy. Delivering high-quality medical care to these patients is therefore imperative.This study aims to examine the relationship between month of referral and the severity of emergency admissions among pregnant women referred for obstetric hemorrhage and trauma.</p><p><strong>Materials and methods: </strong>A retrospective cross-sectional analysis was conducted on hospital records of 1,684 pregnant women admitted to the case emergency center at Imam Reza Hospital in Mashhad, Iran for hemorrhage or trauma between January and December 2016. Secondary data extracted from the hospital information system (HIS) were used to calculate frequencies for patient demographics (age, insurance type), clinical characteristics (admission type, emergency severity, injury cause, referral reason) and external factors (month of referral). Logistic regression was used to assess the relationship between the month of referral and emergency severity (urgent/non-urgent) for hemorrhage and trauma.</p><p><strong>Results: </strong>Hemorrhage during pregnancy (n = 1,636, 97.1%) was the most prevalent reason for referral throughout the year. The month of referral was significantly associated with emergency severity (P < 0.001). Compared to March, the odds of urgent referrals were notably higher in August (OR 3.822), October (OR 5.084), and November (OR 4.720).</p><p><strong>Conclusion: </strong>A peak in emergency referrals were observed during the summer and fall months, with October having the highest number of referrals for obstetric hemorrhage and trauma.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"108-113"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Seasonal Trends and Emergency Admissions for Obstetric Hemorrhage and Trauma among Pregnant Women in Iran.\",\"authors\":\"Elham Nazari, Rizwana Biviji, Fateme Sistanian, Fazilat Biviji, Cauveri Gurav-Kolhar, Zahra Ebnehoseini, Reza Akhavan, Hamed Tabesh\",\"doi\":\"10.1007/s10995-024-04022-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Globally, obstetric hemorrhage and trauma are the leading causes of maternal and fetal morbidity and mortality during pregnancy. Delivering high-quality medical care to these patients is therefore imperative.This study aims to examine the relationship between month of referral and the severity of emergency admissions among pregnant women referred for obstetric hemorrhage and trauma.</p><p><strong>Materials and methods: </strong>A retrospective cross-sectional analysis was conducted on hospital records of 1,684 pregnant women admitted to the case emergency center at Imam Reza Hospital in Mashhad, Iran for hemorrhage or trauma between January and December 2016. Secondary data extracted from the hospital information system (HIS) were used to calculate frequencies for patient demographics (age, insurance type), clinical characteristics (admission type, emergency severity, injury cause, referral reason) and external factors (month of referral). Logistic regression was used to assess the relationship between the month of referral and emergency severity (urgent/non-urgent) for hemorrhage and trauma.</p><p><strong>Results: </strong>Hemorrhage during pregnancy (n = 1,636, 97.1%) was the most prevalent reason for referral throughout the year. The month of referral was significantly associated with emergency severity (P < 0.001). Compared to March, the odds of urgent referrals were notably higher in August (OR 3.822), October (OR 5.084), and November (OR 4.720).</p><p><strong>Conclusion: </strong>A peak in emergency referrals were observed during the summer and fall months, with October having the highest number of referrals for obstetric hemorrhage and trauma.</p>\",\"PeriodicalId\":48367,\"journal\":{\"name\":\"Maternal and Child Health Journal\",\"volume\":\" \",\"pages\":\"108-113\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Maternal and Child Health Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10995-024-04022-1\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/12/11 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Maternal and Child Health Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10995-024-04022-1","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/11 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Seasonal Trends and Emergency Admissions for Obstetric Hemorrhage and Trauma among Pregnant Women in Iran.
Objective: Globally, obstetric hemorrhage and trauma are the leading causes of maternal and fetal morbidity and mortality during pregnancy. Delivering high-quality medical care to these patients is therefore imperative.This study aims to examine the relationship between month of referral and the severity of emergency admissions among pregnant women referred for obstetric hemorrhage and trauma.
Materials and methods: A retrospective cross-sectional analysis was conducted on hospital records of 1,684 pregnant women admitted to the case emergency center at Imam Reza Hospital in Mashhad, Iran for hemorrhage or trauma between January and December 2016. Secondary data extracted from the hospital information system (HIS) were used to calculate frequencies for patient demographics (age, insurance type), clinical characteristics (admission type, emergency severity, injury cause, referral reason) and external factors (month of referral). Logistic regression was used to assess the relationship between the month of referral and emergency severity (urgent/non-urgent) for hemorrhage and trauma.
Results: Hemorrhage during pregnancy (n = 1,636, 97.1%) was the most prevalent reason for referral throughout the year. The month of referral was significantly associated with emergency severity (P < 0.001). Compared to March, the odds of urgent referrals were notably higher in August (OR 3.822), October (OR 5.084), and November (OR 4.720).
Conclusion: A peak in emergency referrals were observed during the summer and fall months, with October having the highest number of referrals for obstetric hemorrhage and trauma.
期刊介绍:
Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment
Innovative MCH service initiatives
Implementation of MCH programs
MCH policy analysis and advocacy
MCH professional development.
Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology.
Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.