童年无症状细菌性尿病对随后怀孕的影响
S H Sacks1, K Verrier Jones, R Roberts
1Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford.
Lancet (London, England)
|October 31, 1987
概括
患有儿童尿路感染 (UTI) 病史的妇女在怀孕期间面临更高的风险,包括急性肌炎和孕前的发病率增加,特别是如果存在脏痕. 在这些怀孕中,婴儿Apgar分数也较低.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 儿童尿路感染 (UTI) 可能会对健康产生长期影响.
- 反复发生的尿路感染或导致脏痕的感染可能会影响未来的怀孕结果.
- 了解这些风险对于母亲和婴儿健康管理至关重要.
研究的目的:
- 为了比较有童年细菌性尿病史的妇女的怀孕结果,与健康的对照对比.
- 调查以前的尿路感染和脏痕对妊娠并发症的影响.
- 评估对母亲健康,分娩方式和婴儿福祉的影响.
主要方法:
- 使用了比较性研究设计.
- 追踪了34名有童年细菌尿病史的妇女 (52次怀孕) 的怀孕结果,并与正常对照怀孕进行了比较.
- 评估的关键结局包括细菌性尿病的流行率,炎黄,孕前,分娩干预措施和婴儿阿巴格分数.
主要成果:
- 以前的细菌性妇女在怀孕期间有显著更高的细菌性尿症 (35%vs5%) 和急性肌炎 (10%vs4%) 率.
- 在以前有细菌性妇女患有脏痕 (p < 0.001) 时,先兆子发生的频率更高.
- 患有脏痕的妇女更有可能接受分娩诱导 (44%) 和手术分娩 (57%);他们的婴儿的Apgar分数较低.
结论:
- 童年细菌性尿病史,特别是脏痕,与怀孕期间发炎和先兆子的风险增加有关.
- 以前有细菌性女性的脏痕与更高的产科干预率和较差的婴儿Apgar分数相关.
- 虽然胎儿的结果令人满意,但对于有儿童尿路感染史的孕妇,需要仔细监测.
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