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按罗布森分类的剖腹产和早产:基于人口的研究,巴西有超过1700万名分娩
Aline S Rocha1,2, Enny S Paixao3,4, Flavia Jôse O Alves3,5
1School of Nutrition, Federal University of Bahia (UFBA), Araújo Pinho - No. 32, Canela, Salvador, Bahia, Brazil. linny_rochaa@hotmail.com.
BMC pregnancy and childbirth
|August 3, 2023
概括
剖腹产与早产的几率更高有关,特别是在特定的罗布森分类组中. 这凸显了与非医疗指示的CS和早期分娩相关的潜在风险.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产期流行病学 围产期流行病学
背景情况:
- 全球剖腹产率的上升与母亲和婴儿的不良结果有关.
- 对于高CS率与早产之间的关联,人们的理解有限.
- 罗布森分类系统根据临床特征对CS进行分类.
研究的目的:
- 调查剖腹产和早产之间的关联.
- 在巴西,使用罗布森分类系统来分析这种关联.
主要方法:
- 使用巴西活产数据 (2012-2019) 进行基于人口的横截面研究.
- 使用罗布森分类系统来比较CS和阴道分娩.
- 使用倾向得分匹配和后勤回归来估计早产儿的几率比率.
主要成果:
- 剖腹产 (CS) 与早产的几率显著增加 (OR 1.32).
- 在罗布森组2 (OR 1.50) 和4 (OR 1.57) 的CS中,早产的几率最高.
- 在第三组,第五组 (以前的CS),第六组,第七组 (腹),第八组 (多胎妊娠) 中,CS的几率也增加了.
结论:
- 剖腹产 (CS) 与早产的可能性增加有关.
- 罗布森组2和4在进行CS时,出现过早分娩的几率最高.
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