第三个三个月持续的孕产妇低血压对晚期发病的妊娠年龄较小的影响以及不良的围产期结局
Mefkure Eraslan Sahin1, Erdem Sahin1, Mehmet Mete Kirlangic2
1Department of Obstetrics and Gynecology, Kayseri City Hospital, Kayseri, Turkey.
PloS one
|July 14, 2023
概括
第三季度持续的孕产妇低血压与妊娠年龄 (SGA) 较小的新生儿或不良周产期结果无关. 这一发现表明,这是怀孕期间正常的生理变化,而不是令人担忧的原因.
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
- 产周研究 产周研究
背景情况:
- 孕妇在第三季度持续的低血压是一种需要研究其对怀孕结果的影响的情况.
- 了解母亲血液动力学和胎儿发育之间的关系对于优化产前护理至关重要.
研究的目的:
- 调查怀孕第三个三个月期间持续的母体低血压与对于妊娠年龄小 (SGA) 新生儿的发病率之间的联系.
- 为了确定第三季度持续的孕产妇低血压是否与其他不良周产期结果相关.
主要方法:
- 一项大型回顾性队列研究,涉及6560名孕妇.
- 孕产妇低血压定义为静缩血压<100 mmHg和/或静缩血压<60 mmHg在孕期第三季度的三个产前检查中.
- 评估结果包括SGA (定义为腹周或出生体重低于第10百分位) 和其他周围不良事件.
主要成果:
- 在持久性母体低血压组 (7.0%) 和正常血压对照组 (6.3%) 之间,SGA率没有统计学上显著的差异.
- 二次结果,包括早产,低5分钟Apgar分数和NICU入院,在两组之间是相似的.
- 研究群体的基线特征是可比的.
结论:
- 第三季度持续的母体低血压与SGA新生儿的风险增加无关.
- 这种情况似乎与其他不良的围产期结果无关,这表明它可能是一种生理适应.
- 孕妇在第三个三个月内产生的低血压不应该成为孕妇焦虑的原因.
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