- 期刊
產婦妊娠危險因子與新生兒先天性缺陷之關聯性分析
Analysis of the Relationship Between Maternal Pregnancy Risk Factors and Congenital Defects in Newborns
摘要
產婦高齡化趨勢下，商業保險中的婦嬰險可被發展來為產婦及新生兒提供額外醫療保障。然而除了產婦年齡與保險年度資料外，婦嬰險的定價與風險管理還需要考慮許多重要的風險因子。本研究乃藉由「衛生福利資料科學中心」資料，以全民健康保險資料庫為基礎，全面探討我國產婦是否患有妊娠危險因子與其新生兒患有先天性缺陷的關聯性。研究結果發現，產婦年齡與新生兒先天性缺陷率會呈二次曲線關係，並且產婦患有妊娠危險因子是解釋新生兒先天性缺陷率的最重要因子。除此之外，儘管新生兒先天性缺陷率逐年降低，但居住在非六都的產婦，其新生兒先天性缺陷率也會較高。
並列摘要
Given the trend of maternal aging, health insurance for maternity and infants can be developed through commercial insurance to provide medical protection for mothers and the possibility of newborns suffering from congenital defects. However, in addition to maternal ages and insurance year data, many important risk factors still need to be considered in deciding the pricing and risk management of maternal and infant insurance policies. This study has been constructed on the basis of the National Health Insurance Research Database from the Health and Welfare Data Science Center of Taiwan to extensively explore the relationship between maternal pregnancy risk factors and neonatal congenital defects. The results show a quadratic relationship between maternal ages and neonatal defect rates, and maternal pregnancy risks contribute the most in explaining the neonatal defect rate. In addition, mothers living outside the six special municipalities also have a higher neonatal congenital defect rate, though its annual tendency has been decreased gradually.