在整个分娩期间的可存期妊娠期的孕产妇和新生儿结局
Angela R Seasely1, Victoria C Jauk2,3, Jeff M Szychowski2,3
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.
American journal of perinatology
|November 1, 2023
概括
随着妊娠年龄的增长,可存活产生的婴儿的1年生存率有所改善,总生存率为49%. 在22周的产前皮质类固醇显示出好处,增强存活率和减少早产婴儿的肺高血压.
科学领域:
- 新生儿科学 新生儿科学
- 围产儿医学 围产儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 新生儿活力和干预措施的门有所不同,需要基于证据的咨询.
- 新生儿护理的改进降低了生存能力的门.
- 准确的关于可存活出生结果的数据对于明智的决策至关重要.
研究的目的:
- 描述从入院到1岁的新生儿的生存率和新生儿结局.
- 分析不同妊娠年龄里程碑 (22-25周) 的结果.
- 评估产前皮质类固醇对可存活婴儿结局的影响.
主要方法:
- 对于没有重大先天性异常的先天婴儿进行了回顾性队列研究.
- 包括怀孕22 0/7到25 6/7周之间出生的婴儿 (2013-2019).
- 通过1年生命的生存里程碑和新生儿并发症的比较.
主要成果:
- 整体1年生存率为49%,随着妊娠年龄的增加 (22周15%至25周71%).
- 常见的并发症包括肺部疾病 (51%),心室内出血 (42%) 和早产视网膜病变 (74%).
- 在22周的婴儿中,产前皮质类固醇暴露与改善的生存率和降低的肺高血压相关.
结论:
- 关于可存活的出生结果的当代数据增强了产科和产周咨询.
- 妊娠年龄是影响生存和新生儿结果的重要因素.
- 产前皮质类固醇可能对出生在最早可存活妊娠期的婴儿有好处.
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