Pregnancy and birth outcomes of women with intellectual disability in Sweden: a national register study.
Pregnancy and birth outcomes of women with intellectual disability in Sweden: a national register study.
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瑞典智障妇女的怀孕和出生结果：国家登记研究。
DOI：
10.1111/j.1600-0412.2012.01509.x
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发表时间：
2012-12
影响因子：
4.3
通讯作者：
Larsson M
中科院分区：
文献类型：
--
作者：
Höglund B;Lindgren P;Larsson M
目标。调查瑞典智力残疾妇女的产前健康和人口因素以及妊娠和分娩结果。设计。一项基于人群的登记研究。设置。国家病人登记簿（NPR）与医疗出生登记簿（MBR）相连。样本。从与MBR相关的NPR中确定的1999-2007年分娩的被列为国际疾病分类（ICD） 8-10的ID妇女（n = 326），与瑞典在此期间所有没有ID或任何其他精神病诊断的首次单身母亲（n = 340624）进行了比较。方法。基于人口的数据从NPR和MBR中提取。主要结果测量。第一次产前检查的健康和社会人口、分娩方式、分娩时疼痛缓解、早产和出院情况。结果。与无ID的女性相比，有ID的女性中青少年（18.4比3.3%）、肥胖（20.1比8.6%）和单身（36.6比6.2%）的比例更高，且有ID的女性更常吸烟（27.9比7.9%）。患有ID的妇女更容易早产（12.2比6.1%），剖宫产（24.5%比17.7%），分娩时使用一氧化氮缓解疼痛的次数更少（59.5%比75.8%）。患有ID的妇女早产的风险更高[比值比（OR） 1.68], CS (OR1.55)，不使用一氧化二氮（OR 1.89）和从医院出院到家中以外的地方（OR 2.24）。结论。患有ID的孕妇应该被认为是一个危险群体，这表明需要为这些妇女提供更好的产前和产后护理和支持。
Objective. To investigate the antenatal health and demographic factors as well as pregnancy and delivery outcomes in women with intellectual disability (ID) in Sweden. Design. A population-based register study. Setting. The National Patient Register (NPR) linked to the Medical Birth Register (MBR). Sample. Women with ID classified as International Classification of Diseases (ICD) 8–10 who gave birth in 1999–2007 (n = 326), identified from the NPR linked to the MBR, were compared with all first-time, singleton mothers without ID or any other psychiatric diagnoses during this period in Sweden (n = 340 624). Methods. Population-based data were extracted from the NPR and the MBR. Main outcome measures. Health and socio-demography at first antenatal visit, mode of delivery, pain relief during labor, preterm birth and discharge from hospital. Results. A higher proportion of women with ID were teenagers (18.4 vs. 3.3%), obese (20.1 vs. 8.6%) and single (36.6 vs. 6.2%) compared with women without ID, and women with ID smoked more often (27.9 vs. 7.9%). Women with ID had more often a preterm birth (12.2 vs. 6.1%), a cesarean section (CS) (24.5 vs. 17.7%) and used less nitrous oxide as pain relief during labor (59.5 vs. 75.8%). Women with ID had a higher risk for preterm birth [odds ratio (OR) 1.68], CS (OR1.55), non-use of nitrous oxide (OR 1.89) and discharge from hospital to a place other than home (OR 2.24). Conclusion. Pregnant women with ID should be considered a risk group suggesting that better tailored pre- and intrapartum care and support are needed for these women.
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DOI：
10.1177/140349489001800209
发表时间：
1990-01-01
期刊：
SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE
影响因子：
--
作者：
CNATTINGIUS, S;ERICSON, A;KALLEN, B
通讯作者：
KALLEN, B
DOI：
10.1111/j.1467-842x.2003.tb00374.x
发表时间：
2003-02-01
影响因子：
3.5
作者：
Llewellyn, G;McConnell, D;Mayes, R
通讯作者：
Mayes, R
DOI：
10.1111/j.1365-2788.2007.01025.x
发表时间：
2008-02-01
影响因子：
3.6
作者：
Matthews, T.;Weston, N.;Kerr, M.
通讯作者：
Kerr, M.
DOI：
10.1046/j.1365-2788.2002.00360.x
发表时间：
2002-02-01
影响因子：
3.6
作者：
Servais, L;Jacques, D;Roussaux, JP
通讯作者：
Roussaux, JP
DOI：
10.1080/1366825031000147067
发表时间：
2003-06-01
影响因子：
1.3
作者：
McConnell, D;Llewellyn, G;Honey, A
通讯作者：
Honey, A