产后出血的发生率和危险因素:希腊第三级医院的病例对照研究
Kyriaki Mitta1, Ioannis Tsakiridis1, Themistoklis Dagklis1
1Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
产后出血 (PPH) 影响2.5%的分娩,母亲的晚年,早产和性别平等是关键的危险因素. 主要治疗方法是使用子宫缩药物,尽管有时需要剖腹产切除术.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
背景情况:
- 产后出血 (PPH) 仍然是产科的一个重大挑战,尽管死亡率下降.
- 了解PPH发生率,风险因素和管理对于改善母亲的结果至关重要.
研究的目的:
- 为了估计初级PPH的发病率.
- 确定与PPH相关的潜在风险因素.
- 调查PPH使用的管理策略.
主要方法:
- 追溯的病例控制研究.
- 从2015年至2021年对PPH病例 (血液损失>500毫升) 的参与分析.
- 使用奇平方测试和逻辑回归来进行变量分析.
主要成果:
- 在8545例出生中,PPH发生在2.5%的婴儿中.
- 确定了风险因素:晚年母亲年龄 (>35岁),早产和性别平等.
- 子宫缩 (54.8%) 和胎盘保留 (30.5%) 是主要原因.
- 在57.9%的病例中使用了子宫激活药物;在7.3%的病例中使用了剖腹产切除术.
- 过早分娩和剖腹产增加了多次治疗的需要;过早预测了子宫切除术.
- 在PPH病例中没有记录过孕产妇死亡.
结论:
- 宫性药物是最常见的PPH管理策略.
- 先进的孕产妇年龄,早产和多夫妇是重要的PPH风险因素.
- 建议对PPH风险因素和验证的预测模型进行进一步的研究.
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