42岁或以上的妇女的孕产妇和产周结局
Maeva Landry1, Mickael Allouche1,2, Christophe Vayssière1,2
1Department of Obstetrics and Gynecology, Paule de Viguier Hospital, CHU Toulouse, France.
概括
42岁以上妇女怀孕的风险增加. 与自发受孕相比,辅助生殖技术 (ART) 怀孕显示出更高的孕妇和胎儿并发症率.
科学领域:
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 先进的母亲年龄 (42岁及以上) 与怀孕风险增加有关.
- 怀孕模式,自发与辅助生殖技术 (ART) 相比,可能会影响晚期怀孕中母亲和胎儿的结果.
研究的目的:
- 为了评估42岁及以上妇女怀孕的孕产妇和胎儿结果.
- 为了比较自发怀孕和通过ART怀孕的孕妇和胎儿的发病率.
主要方法:
- 在2014-2019年间分娩的42岁以上妇女的回顾性队列研究.
- 使用单变量和多变量逻辑回归分析来比较基于受孕模式 (自发与ART) 的结果.
主要成果:
- 这项研究包括532名妇女;335例自发怀孕和147例ART怀孕.
- 观察到母亲并发症 (肥胖,孕前,妊娠糖尿病) 和干预措施 (住院治疗,剖腹产,产后出血) 的增加率.
- 在ART怀孕中,产妇和产周并发症的发病率较高,在ART组中,先兆子的发病率更高 (OR0.25,P=0.02).
结论:
- 42岁以上妇女的怀孕与增加的孕产妇和胎儿风险有关.
- 与自发怀孕相比,辅助生殖技术怀孕显示出与怀孕相关的并发症的发生率更高.
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