怀孕年龄和产期产生的结果 单独怀孕怀孕与不孕症治疗
Ira Hamilton1, Nicole Martin1, James Liu1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
JAMA network open
|August 11, 2023
概括
对于在不孕症治疗中怀孕的孕妇,39周的分娩最佳地平衡了死产和新生儿并发症的风险. 与晚期妊娠年龄相比,这种时间可以最大限度地降低围产期风险.
科学领域:
- 生殖医学 生殖医学
- 周围生理学 周围生理学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 通过不孕症治疗怀孕的孕妇面临更高的围产期风险.
- 目前的指导方针缺乏针对这一群体的具体交付时间建议.
- 确定最佳交付时间对于改善结果至关重要.
研究的目的:
- 为了确定最佳的妊娠年龄分娩期单独怀孕怀孕与不孕症治疗.
- 为了平衡死产与新生儿并发症和婴儿死亡率的风险.
主要方法:
- 一项回顾性队列研究分析了美国出生和死亡数据 (2014-2018).
- 包括单期怀孕 (37-42周) 与不孕症治疗一起怀孕.
- 死亡产生的风险,新生儿发病率和婴儿死亡的风险每周比较.
主要成果:
- 37周和38周的分娩与随后的几周相比,显示出较低的风险.
- 风险显著超过39周的风险,而晚期的分娩风险明显超过39周的风险.
- 在怀孕39周时分娩时,观察到最佳的风险平衡.
结论:
- 怀孕39周的分娩似乎为怀孕时怀孕不育治疗的孕妇提供了最低的周产期风险.
- 这些发现可以为这种高风险组的分娩时间提供临床建议.
- 进一步的研究可能会根据个别的风险因素来改进时间.
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