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新生儿出生体重值对于劳动力强迫症的结果在矮身和正常身材的女性之间有所不同吗?
Gal Cohen1,2, Hanoch Schreiber1,2, Hila Shalev-Ram1,2
1Department of Obstetrics and Gynecologye, Meir Medical Center, Kfar Saba, Israel.
概括
由于头皮皮层不成比例,母亲的矮身与通过剖腹产产产生的新生儿的出生体重较低有关. 这一发现突显了较短的母亲经历艰难分娩的婴儿的特定风险.
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
- 新生儿健康 新生儿健康
背景情况:
- 劳动力,包括头骨骨不成比例 (CPD),构成对孕产妇和新生儿不良后果的风险.
- 孕产妇的身高是影响骨盆尺寸和分娩进展的潜在因素.
- 在劳动力强迫症的背景下,母亲的矮身和新生儿出生体重之间的关系需要进一步调查.
研究的目的:
- 为了研究与产妇缩和新生儿出生体重之间的相关性,在经历了与分娩缩相关的不良结果的妇女中.
- 为了比较新生儿出生体重的妇女与矮身和那些正常的身高接受劳动动力缩的干预.
主要方法:
- 对单独分娩的医疗记录进行了回顾性审查,这些分娩的单独分娩与劳动失调相关的不良结果 (2014-2020年).
- 纳入标准:剖腹产 (CD) 治疗慢性慢性病,延长的第二阶段,肩膀缩,或严重的围撕裂.
- 母亲的矮身被定义为身高低于第10个百分点;正常的身高在第10-90个百分点之间.
主要成果:
- 包括3295名女性;9.3%的人身高矮 (n=307).
- 整体队列显示出类似的出生体重. 然而,由于CPD导致CD的子组分析 (n=296) 显示,矮身组的出生体重显著较低 (3215g vs 3484g,P=0.001).
- 由于CPD导致的CD的多变量分析表明,矮身和无双性独立与新生儿出生体重下降相关 (分别减少266g和294g,P=0.001).
结论:
- 在身高矮的女性中,剖腹产治疗头皮皮不成比例与较低的新生儿出生体重有关.
- 矮身是新生儿出生体重降低的独立风险因素,在需要剖腹产的慢性肺炎病例中.
- 这些发现强调了考虑到母亲的身材在管理劳动力强迫症和评估新生儿结果时的重要性.
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