Pregnancy outcomes among visually impaired women in Washington State, 1987-2014.
Pregnancy outcomes among visually impaired women in Washington State, 1987-2014.
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DOI：
10.1016/j.dhjo.2020.101057
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发表时间：
2021-07
影响因子：
4.5
通讯作者：
Mueller BA
中科院分区：
文献类型：
--
作者：
Schiff MA;Doody DR;Crane DA;Mueller BA
视力障碍妇女获得标准护理资源的能力可能会降低，但是，关于其妊娠和新生儿结局的信息有限。评估1987-2014年华盛顿州视力受损妇女不良妊娠和新生儿结局的风险。我们进行了一项回顾性队列研究，使用关联的华盛顿州出生/胎儿死亡出院记录，比较分娩住院时有视力障碍和无视力障碍的妇女的结局。评估的妊娠状况和结局包括妊娠期糖尿病、先兆子痫、引产和剖宫产。新生儿结局包括早产和出生体重<2500克。我们评估了产妇和婴儿分娩住院的时间。我们进行Poisson回归来估计每种结局的相对风险（RR）和95%置信区间（CI），并对分娩年份、母亲年龄和产次进行调整。视力受损女性（N=232）和对照女性（N=2362）的大多数不良妊娠和新生儿结局相似。然而，视力受损的妇女发生重度先兆子痫（RR 3.77，95% CI 1.69-8.43）、引产（RR 1.33，95% CI 1.10-1.61）和早产（RR 1.60，95% CI 1.06-2.42）的风险增加。她们也更有可能在阴道分娩后住院3天或更长时间（RR 1.86，95% CI 1.41-2.47）。在剖宫产分娩中，视力受损妇女的婴儿在产后3天或以上住院的风险增加（RR 1.24，95%CI 1.02-1.51）。我们的研究结果可能是有用的产科医生在咨询他们的视力受损的患者。
Women with visual impairment may have reduced ability to access standard care resources, however, information on their pregnancy and neonatal outcomes is limited. To assess risk of adverse pregnancy and neonatal outcomes among visually impaired women in Washington State from 1987–2014. We conducted a retrospective cohort study using linked Washington State birth/fetal death hospital discharge records to compare outcomes among women with and without visual impairment noted at their delivery hospitalization. Pregnancy conditions and outcomes evaluated included gestational diabetes, pre-eclampsia, labor induction and cesarean delivery. Neonatal outcomes included preterm delivery and birth weight <2500 grams. We assessed length of maternal and infant delivery hospitalization. We performed Poisson regression to estimate relative risks (RR) and 95% confidence intervals (CIs) for each outcome, adjusting for year of delivery, maternal age, and parity. Most adverse pregnancy and neonatal outcomes were similar for visually impaired (N=232) and comparison women (N=2362). However, visually impaired women had increased risks of severe pre-eclampsia (RR 3.77, 95% CI 1.69–8.43), labor induction (RR 1.33, 95% CI 1.10–1.61) and preterm delivery (RR 1.60, 95% CI 1.06–2.42). They were also more likely to have delivery hospitalizations of 3 or more days following a vaginal (RR 1.86, 95% CI 1.41–2.47). Among cesarean deliveries, infants of visually impaired women had increased risk (RR 1.24, 95% CI 1.02–1.51) of hospitalization for 3 or more days postpartum. Our findings may be useful for obstetric providers in counseling their visually impaired patients.
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DOI：
10.1097/ede.0000000000001185
发表时间：
2020-09
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Schwartz NRM;Crane DA;Doody DR;Schiff MA;Mueller BA
通讯作者：
Mueller BA
影响因子：
12.7
作者：
KOTELCHUCK, M
通讯作者：
KOTELCHUCK, M
影响因子：
12.7
作者：
Crews, JE;Campbell, VA
通讯作者：
Campbell, VA
影响因子：
3.1
作者：
Redshaw, Maggie;Malouf, Reem;Gray, Ron
通讯作者：
Gray, Ron
影响因子：
5
作者：
Ivers, RQ;Norton, R;Campbell, AJ
通讯作者：
Campbell, AJ