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在计划时间之前紧急剖腹产的风险:一项追溯队列研究
Shir Danieli-Gruber1,2, Yael Shalev-Rosenthal1,2, Ran Matot1,2
1Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
PloS one
|August 7, 2023
概括
在预定日期之前的紧急剖腹产与慢性高血压,产前皮质类固醇和阴道分娩的禁忌有关. 这些紧急手术增加了新生儿和母亲的风险,包括产后出血.
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
- 围产期结局的结果
背景情况:
- 选择性剖腹产是计划的程序,以优化母亲和胎儿的结果.
- 然而,一些选择性剖腹产可能需要在计划日期之前紧急进行.
- 了解导致这种转变和相关风险的因素对于临床实践至关重要.
研究的目的:
- 确定与可选剖腹产产生的风险因素,在预定日期之前变得紧急.
- 评估与预定程序相比,这些紧急程序对母亲和新生儿的结果.
主要方法:
- 在高等医疗中心 (2012-2020年) 接受选择性剖腹产的妇女的回顾性分析.
- 紧急和预定剖腹产之间的母亲和新生儿参数的比较.
- 多变量分析以确定紧急转换的重大风险因素.
主要成果:
- 慢性高血压,产前用皮质类固醇和阴道分娩的禁忌是紧急剖腹产的重要危险因素.
- 通过紧急剖腹产产产生的新生儿有较高的1分钟Apgar分数和重症监护室入院率.
- 接受紧急剖腹产的母亲面临着产后出血的风险增加.
结论:
- 选择性剖腹产转换为紧急手术与特定的孕产妇风险因素有关.
- 这些紧急分娩与新生儿发病率增加和产后出血等产妇并发症有关.
- 计划选择性剖腹产的临床决策应该考虑这些发现,以减轻潜在的风险.
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