晚期母亲年龄对母亲和新生儿结果的影响
Dominik Ratiu1, Florian Sauter1, Elena Gilman1
1Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
In vivo (Athens, Greece)
|June 27, 2023
概括
先进的孕产妇年龄 (≥40) 与更多的产前并发症 (如剖腹产和早产) 有关. 然而,新生儿结局仍然相似,突出了有效的风险怀孕管理.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 由于社会变化和生殖方面的进步,孕产妇在受孕时的年龄增加.
- 现有的文献提出了关于与晚年母亲年龄相关的风险的有争议的发现.
- 这项研究解决了关于老年母亲的孕产妇和新生儿结局的争论的结论.
研究的目的:
- 调查晚年母亲对母亲和新生儿结局的影响.
- 为了澄清现有研究中的有争议的发现.
- 评估40岁及以上妇女怀孕的风险和并发症.
主要方法:
- 在大学医院 (2014-2018) 分析了8523例单独分娩的数据.
- 两组结果的比较:母亲年龄≥40岁和母亲年龄<40岁.
- 评估各种母亲和新生儿指标.
主要成果:
- 40岁以上的女性患剖腹产,早产,低出生体重,胎盘保留率较高.
- 两组之间在产后出血或胎儿位置上没有发现显著差异.
- 新生儿结局 (胎儿基超值,出生pH值,Apgar评分) 没有显示出显著的临床差异.
- 年轻的母亲有更多的分娩伤害和更高的外周支架使用.
结论:
- 先进的孕产妇年龄与增加的产前并发症有关.
- 新生儿结局是可比的,不管母亲的年龄,这表明有效的管理.
- 高风险怀孕的标准化护理确保了老年母亲及其婴儿的良好结果.
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