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劳动持续时间的第一阶段和与之相关的新生儿不良结果的风险
Louise Lundborg1, Katarina Åberg2, Anna Sandström2,3
1Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden. Louise.lundborg@ki.se.
Scientific reports
|August 2, 2023
概括
较长时间活跃的第一个分娩阶段与新生儿不良结果的风险增加有关. 这种关联,特别是严重的结果,部分是由延长的第二阶段的劳动中介.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 围产期流行病学 围产期流行病学
背景情况:
- 关于活跃的第一阶段劳动持续时间对新生儿结果的影响的证据是不确定的.
- 了解这些风险对于优化劳动管理和改善婴儿健康至关重要.
研究的目的:
- 评估分娩活跃第一阶段的持续时间与新生儿不良结果之间的关联.
- 识别可能增加新生儿风险的潜在分娩时间门.
主要方法:
- 在瑞典斯德哥尔摩-戈特兰地区 (2008-2020年) 对46,040名妇女进行了基于人口的队列研究 (罗布森1分类).
- 修改Poisson回归分析用于评估活跃的第一阶段劳动持续时间和新生儿结果之间的关系.
- 调解分析探讨了第二阶段劳动持续时间在这个协会中的作用.
主要成果:
- 经过10.1小时 (aRR 1.53) 观察到新生儿严重结局的风险增加.
- 中度新生儿结局显示5.1小时以后的风险增加 (aRR为1.40).
- 调解分析表明,13%的严重和20%的中度不良结果风险是由更长的第二阶段的分娩调解的.
结论:
- 增加劳动持续时间的活跃第一阶段与新生儿不良结果的风险更高有关.
- 没有明确的劳动持续时间风险值被确定,这表明持续时间和风险之间存在连续关系.
- 这些发现强调了监测分娩进展及其对新生儿福祉潜在影响的重要性.
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