在死产后怀孕的新生儿和母亲的结果
Eleanor S Brakewood1, Kara Stoever2, Phinnara Has3
1Department of Medical Education, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
American journal of perinatology
|October 31, 2023
概括
前期死产增加了新生儿重症监护室 (NICU) 住院的风险,并在随后的活产妊娠中增加了严重的孕前. 建议对这些高风险妊娠进行仔细监测.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 生殖健康 生殖健康
背景情况:
- 以前的死胎是随后死胎的已知风险因素.
- 以前的死胎对后续活胎怀孕的影响,特别是关于新生儿和母亲的结果,需要进一步调查.
研究的目的:
- 检查先前死胎和后续活胎怀孕中新生儿不良后果之间的关联.
- 评估先前死产与随后活产妊娠中的孕产妇发病率之间的关系.
主要方法:
- 一个回顾性队列研究的二次分析,包括多胎患者,有或没有先前的死产.
- 结果包括新生儿发病率的复合和母亲发病率的复合,以及新生儿重症监护室 (NICU) 的入院和具有严重特征的孕前.
- 对母体并发症和分娩年份进行负二项式回归控制.
主要成果:
- 以前死胎的母亲的婴儿有类似的复合新生儿发病风险,但入院NICU的风险更高.
- 先前死产的母亲具有整体孕产妇发病率的同等风险,但患有具有严重特征的孕前的风险明显更高.
- 这些发现在控制母亲的并发病症和分娩年后仍然存在.
结论:
- 有死产史的妇女面临着为婴儿入院NICU的风险增加,并在随后的怀孕中发展出具有严重特征的孕前症.
- 这些发现表明,死胎后的怀孕需要对潜在的不良结果进行更密切的监测.
- 该研究强调了识别和管理高风险怀孕的重要性,以改善母亲和新生儿的结果.
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