唐氏综合征错误阳性查结果与不良怀孕结果之间的关系
Maryam Honarjoo1, Shahnaz Kohan2, Mohammad Javad Tarrahi3
1Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iranian journal of nursing and midwifery research
|September 11, 2023
概括
虚假阳性唐氏综合征查结果与新生儿中孕前,妊娠年龄相对小 (SGA) 和低出生体重 (LBW) 的风险增加有关. 这些发现强调了了解查结果对母亲和胎儿健康的重要性.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产前诊断 在产前诊断
- 围产期结果研究研究
背景情况:
- 孕产妇血清查确定了胎儿21型三症风险,并与不良围产期结局有关.
- 唐氏综合征查中的假阳性结果需要进一步调查它们对怀孕的影响.
研究的目的:
- 确定虚假阳性唐氏综合征查结果与不良妊娠结果之间的关联.
- 量化怀孕中特定不良结果的风险,以假阳性查结果.
主要方法:
- 对608名接受胎儿条件查的孕妇进行前性队列研究.
- 在怀孕20周时进行便利抽样,并随时跟踪到分娩.
- 在虚假阳性与真阴性组中计算不利结果的几率比率 (OR) 和相对风险 (RR).
主要成果:
- 假阳性查显著增加了孕前的风险 (经调整的OR为1.98,RR为2.13).
- 较小的妊娠年龄 (SGA) (调整的OR 2.80,RR 2.28) 和低出生体重 (LBW) (调整的OR 3.34,RR 2.65) 观察到更高的风险.
- 两组之间早产率没有显著差异.
结论:
- 假阳性胎儿查结果与子宫前,SGA和LBW的可能性增加有关.
- 假阳性查的妇女可能会从改善产前护理计划中受益.
- 这些发现凸显了超出21型三瘤检测范围的假阳性查结果的临床相关性.
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