まとめ
胎盤の成長遅延は,胎児および新生児の死亡に重大な影響を及ぼしました. リスク要因には,母親の高血圧,タンパク質尿,母親の高齢化,貧血,貧困などがあり,胎盤 perfusion の不良と胎児栄養不良を示唆しています.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 産周医学は,産周医学である.
- 胎児の発達について
背景:
- 胎盤成長遅延 (PGR) は,重篤な産科合併症である.
- PGRは,胎内死亡率と発病率に大きく貢献しています.
研究 の 目的:
- 胎児と新生児の死因の原因と要因を調査し,胎盤の成長遅延に関連した胎児と新生児の死因を調査する.
- PGRに関連する死亡率に関連した母体および胎盤の特徴を特定する.
主な方法:
- 胎児と新生児の死因の遡及的分析.胎盤の成長遅延に起因する.
- 血圧,タンパク質尿,年齢,貧血,社会経済的な地位を含む母親の要因の評価.
- 不十分な perfusion の証拠のための胎盤と乳首の組織の顕微鏡検査.
主要な成果:
- 胎盤の成長遅延は,出生10万人に84人の胎児および新生児死亡の原因でした.
- 母親のダイアストリック血圧の上昇とプロテイン尿は,死亡リスクを増加させた.
- 産前死亡率は,母親の高齢化,貧血,貧困と相関していた.
- 低体重増加と胎児の栄養不良の兆候が観察されました.
- 胎盤病理は不十分な子宮 perfusion を示し,フィブリーノイドの変化とendarteritis を含む.
結論:
- 胎盤の成長遅延は,妊産婦の死亡の主な原因であり,母親の高血圧,タンパク質尿,および有害な社会経済的要因と関連しています.
- 病理学的発見は,子宮胎盤 perfusion 障害が重要なメカニズムであることを示唆しています.
- 母親の健康と社会経済的要因に対処することで,PGRに関連する死亡率を軽減することができます.
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