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自然和人为灾害对妊娠结局及并发症的影响:一项系统综述

Consequences of Natural and Man-made Disasters on Pregnancy Outcomes and Complications: A Systematic Review.

作者信息

Pashaei Asl Yousef, Ghanbari-Homaie Solmaz, Partash Nasim, Pakzad Alireza, Faridaalaee Gholamreza

机构信息

Department of Health Policy& Management, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Arch Acad Emerg Med. 2024 Aug 9;12(1):e61. doi: 10.22037/aaem.v12i1.2268. eCollection 2024.

DOI:10.22037/aaem.v12i1.2268
PMID:39296519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11408978/
Abstract

INTRODUCTION

Due to their unique circumstances, pregnant women face a heightened risk of experiencing pregnancy complications during and after catastrophic events. This study aims to investigate the consequences of both natural and man-made disasters on pregnancy outcomes.

METHOD

This study is a systematic review. Searches were performed until May 31, 2024, in the electronic databases including Medline, Web of Science, Embase, and Scopus. Outcomes such as preterm birth, low birth weight (LBW), small for gestational age (SGA), stillbirth, spontaneous abortion, and pregnancy-related blood pressure complications were studied.

RESULT

The search conducted in the databases yielded 3307 non-duplicate records. After reading the abstracts, 3204 articles were excluded based on inclusion and exclusion criteria. Full texts of 103 article were obtained. However, upon reading the full texts of articles, 13 of them did not meet the inclusion criteria for the study. Consequently, 90 articles were ultimately included.

CONCLUSION

Natural and man-made disasters exert significant influence on adverse pregnancy outcomes. While it is impossible to prevent the incidence of natural disasters and often man-made disasters occur abruptly, the negative consequences of disasters, particularly natural ones, can be mitigated by enhancing prenatal care and avoiding detrimental elements such as smoking and alcohol.

摘要

引言

由于其特殊情况,孕妇在灾难性事件期间及之后出现妊娠并发症的风险更高。本研究旨在调查自然和人为灾害对妊娠结局的影响。

方法

本研究为系统综述。检索截至2024年5月31日的电子数据库,包括Medline、科学引文索引、Embase和Scopus。研究了早产、低出生体重、小于胎龄儿、死产、自然流产以及妊娠相关血压并发症等结局。

结果

数据库检索得到3307条非重复记录。阅读摘要后,根据纳入和排除标准排除3204篇文章。获取了103篇文章的全文。然而,阅读文章全文后,其中13篇不符合该研究的纳入标准。因此,最终纳入90篇文章。

结论

自然和人为灾害对不良妊娠结局有重大影响。虽然无法预防自然灾害的发生,而且人为灾害往往突然发生,但通过加强产前护理以及避免吸烟和饮酒等有害因素,可以减轻灾害的负面影响,尤其是自然灾害的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1e6/11408978/3c43140e0f90/aaem-12-e61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1e6/11408978/3c43140e0f90/aaem-12-e61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1e6/11408978/3c43140e0f90/aaem-12-e61-g001.jpg

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