多次剖腹产的结果和并发症:在沙特阿拉伯的贾赞进行了一项回顾性研究
Maha Murtada1, Nasser Hakami2, Mohamed Mahfouz3
1Obstetrics and Gynecology Department, Jazan University, Jazan 82621, Saudi Arabia.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
在沙特阿拉伯,重复剖腹产会导致严重的孕产妇并发症,如粘附和输血,以及常见的新生儿问题,如低的阿帕格分数和重症监护室的入院.
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:
- 全球和沙特阿拉伯的剖腹产率不断上升,需要了解相关风险.
- 重复的CS程序具有特定的孕产妇和产周并发症概况.
研究的目的:
- 评估在重复剖腹产后发生的孕产妇和产周并发症.
- 为了确定沙特阿拉伯人口中的发病率和并发症类型.
主要方法:
- 追溯性研究设计.
- 从2023年1月至7月期间接受CS的妇女的医疗记录中收集的数据.
- 在沙特阿拉伯贾赞地区的三个医院进行的研究.
主要成果:
- 在268名女性中,有73名女性 (27.3%) 经历了重复性CS.
- 常见的孕产妇并发症包括腹腔内粘附 (7.5%) 和化腹部层 (7.1%).
- 术后母亲并发症:输血 (22%) 和尿道感染 (3%).
- 新生儿并发症:低的阿普加尔评分 (19%),需要复苏 (2.6%) 和入院NICU.
- 3.7%的母亲经历了延迟开始母乳养.
结论:
- 重复的剖腹产与频繁的并发症有关,包括粘附,化的腹部层,需要输血和术后感染.
- 新生儿并发症,如低阿普加尔评分,需要复苏和重症监护室的入院也很常见.
- 最佳的医院护理可以管理许多这些并发症.
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