2016-2023年路易斯安那州通过医疗辅助生殖的父母结构怀孕的特征。

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Dovile Vilda, Brent Monseur
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引用次数: 0

摘要

目的:探讨在同性、异性和单亲家庭中使用医学辅助生殖(MAR)分娩的妊娠并发症和不良分娩结局的风险。方法:我们对2016年至2023年路易斯安那州所有MAR新生儿进行了基于人口的横断面分析。根据孩子出生证明上父母双方的性别,我们将孩子的出生分为不同性别(参考类别)、同性和单亲家庭。我们使用修正泊松回归和稳健标准误差来估计所有研究结果的校正风险比(aRR)和95%置信区间(CIs),包括妊娠糖尿病(GDM)、妊娠高血压(gHTN)、引产、剖宫产、臀位分娩、早产和低出生体重。结果:2934例mar妊娠新生儿中,同性关系177例(6.0%),单亲家庭93例(3.2%),异性关系2664例(90.8%)。在调整了社会人口统计学、既往健康状况和妊娠危险因素后,同性关系中生育的人有更高的引产风险(aRR: 1.23;95% CI: 1.06, 1.43)和较低的剖宫产风险(aRR: 0.89;95% CI: 0.81, 0.98)。单亲家庭gHTN风险较高(aRR: 1.56;95% ci: 1.10, 2.21)。结论:同性伴侣分娩者引产风险较高,剖宫产风险较低,单亲父母分娩者gHTN风险较高。这些发现强调了在研究和临床护理中考虑家庭结构以解决生殖健康差异的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of Births Conceived Through Medically Assisted Reproduction by Parental Structure in Louisiana (2016-2023).

Objective: To examine the risk of pregnancy complications and adverse delivery outcomes among births conceived using medically assisted reproduction (MAR) in same-sex, different-sex, and single-parent households. Methods: We conducted a cross-sectional population-based analysis of all MAR births in Louisiana from 2016 to 2023. Based on the sex of both parents listed on the child's birth certificate, we classified births as occurring in different-sex (reference category), same-sex, and single-parent households. We used modified Poisson regression with robust standard errors to estimate adjusted risk ratios (aRR) and 95% confidence intervals (CIs) for all study outcomes including gestational diabetes mellitus (GDM), gestational hypertension (gHTN), induced labor, cesarean delivery, breech delivery, preterm birth, and low birth weight. Results: Among 2,934 MAR-conceived births, 177 (6.0%) were in same-sex relationships, 93 (3.2%) were in single-parent households, and 2,664 (90.8%) were in different-sex relationships. After adjusting for sociodemographic, preexisting health, and pregnancy risk factors, birthing people in same-sex relationships experienced higher risks of labor induction (aRR: 1.23; 95% CI: 1.06, 1.43) and lower risks of cesarean delivery (aRR: 0.89; 95% CI: 0.81, 0.98) compared to those in different-sex relationships. Single-parent households exhibited higher risks of gHTN (aRR: 1.56; 95% CI: 1.10, 2.21). Conclusions: Birthing people in same-sex relationships were at higher risk for labor induction and lower risk of cesarean delivery, while single parents were at greater risk for gHTN. These findings underscore the importance of considering family structure in research and clinical care to address disparities in reproductive health.

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来源期刊
Journal of women's health
Journal of women's health 医学-妇产科学
CiteScore
6.60
自引率
5.70%
发文量
197
审稿时长
2 months
期刊介绍: Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment. Journal of Women’s Health coverage includes: -Internal Medicine Endocrinology- Cardiology- Oncology- Obstetrics/Gynecology- Urogynecology- Psychiatry- Neurology- Nutrition- Sex-Based Biology- Complementary Medicine- Sports Medicine- Surgery- Medical Education- Public Policy.
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