延长双胞胎间分娩间隔的危险因素以及相关的母体和第二双胞胎发病率
Naphtali Justman1, Roee Goldfreind1, Hiba Abu-Rass1
1Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel.
American journal of perinatology
|August 9, 2023
概括
长时间的交叉分娩间隔 (IDI) 增加了新生儿酸血症和低Apgar分数的风险. 先进的孕产妇年龄,无双性和出生体重不一致性与较长的IDI有关.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 产周研究 产周研究
背景情况:
- 双胞胎之间的分娩间隔 (IDI) 是第一个和第二个双胞胎出生之间的时间.
- 了解影响IDI及其新生儿结果的因素对于优化双胞胎出生管理至关重要.
研究的目的:
- 为了确定与长时间交织交付间隔 (IDI) 相关的风险因素.
- 评估与长时间的IDI相关的新生儿发病率.
主要方法:
- 回顾性队列研究,包括461名双胞胎怀孕的妇女在第三级护理中心.
- 较短IDI (≤15分钟) 和长期IDI (>15分钟) 组之间的人口和临床特征的比较.
- 主要结局:5分钟的阿普加尔评分≤7. 其次性结局包括新生儿酸血症,分娩方式,胎盘断裂和母体血红蛋白下降.
主要成果:
- 长时间的IDI与5分钟Apgar评分≤7 (9.7%对3.5%) 和新生儿酸性血症 (15.7%对4.3%) 的显著更高率有关.
- 长期IDI组中观察到胎盘断裂和母体血红蛋白下降 (≥3g/dL) 的患病率增加.
- 先进的孕产妇年龄 (≥30岁),无双性和双胞胎出生体重比率 (≥1.2) 被确定为长期IDI的独立风险因素.
结论:
- 长时间的交配间隔 (IDI) 与新生儿不良结果有关,包括新生儿酸血症的更高率和低的5分钟Apgar分数.
- 长时间的IDI也与母亲的并发症增加有关,例如胎盘断裂和显著的血液损失.
- 长期IDI的关键风险因素包括先进的母亲年龄,nulliparity和双胞胎出生体重的显著不一致.
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