在早产多胎妊娠中怀孕结果:来自印度和巴基斯坦前性研究的结果 (PURPOSe)
Gowdar Guruprasad1, Chaitali R Raghoji1, Sangappa M Dhaded2
1Bapuji Educational Association's J.J.M. Medical College, Karnataka, India.
概括
在调整出生体重等因素后,早产双胞胎的新生儿死亡率与单生儿相似. 生生的双胞胎的较高死亡率与早产有关,而不是与遗传特征有关.
科学领域:
- 围产儿医学 围产儿医学
- 新生儿结局的结果.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 多胎妊娠,特别是早产双胞胎,在围产期护理中存在独特的挑战.
- 了解比较结果对于优化低收入和中等收入国家的管理策略至关重要.
研究的目的:
- 为了比较早产多胎 (双胞胎,三胞胎,四胞胎) 和单胎怀孕之间的周产期结果.
- 确定印度和巴基斯坦这些不同的怀孕群体中特定的风险因素和死亡原因.
主要方法:
- 这是一项前性观察性研究,涉及印度和巴基斯坦各医院的3897例早产妊娠.
- 评估新生儿死亡率,死产率和主要死亡原因.
- 分析按婴儿性别,妊娠年龄 (GA),出生体重和妊娠年龄 (SGA) 状态分层.
主要成果:
- 在对GA,出生体重和SGA进行调整后,早产双胞胎的新生儿死亡率与单身双胞胎的新生儿死亡率类似.
- 两组的主要死亡原因包括子宫内缺氧和感染.
- 与单生子相比,早产双胞胎更有可能死于产后感染.
结论:
- 在活产早产双胞胎中观察到的死亡率增加主要归因于他们出生时的早期妊娠年龄.
- 没有显著的先天双胞胎的固有特征导致较高的死亡率比单子.
- 这些发现强调了在多胎妊娠中解决早产相关并发症的重要性.
关键词:
多重怀孕是一个多重怀孕.相关概念视频
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