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在患有特异性多水症的患者中,引发分娩与预期管理相比

Corina N Schoen¹, Sami Backley², Lauren Orr³

¹Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, UMASS Chan Medical School -Baystate, Springfield, MA 01199, USA.

European journal of obstetrics, gynecology, and reproductive biology

|December 1, 2023

概括

诱导分娩可能会降低孤立多水症患者的剖腹产率. 虽然没有统计学意义,但计划性诱导与预期管理相比显示出较低的剖腹产率.

科学领域:

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
临床产科临床产科

背景情况:

孤立的多水,一种过多的胎液的情况,带来了管理挑战.
对于孤立多水瘤的最佳分娩策略仍在争论中,特别是在剖腹产风险方面.

研究的目的:

调查分离多水症患者的分娩诱导和剖腹产风险之间的关联.
为了比较诱导和预期孕妇管理组之间的孕产妇和新生儿结局.

主要方法:

追溯队列研究,包括194名怀孕34-38周之间患有异形多水症的患者.
主要结果:剖腹产.剖腹产. 二次结局:胆膜炎,子宫内膜炎,产后出血,高血压疾病和新生儿发病率.
数据从2012年7月到2020年2月在一个单一中心收集.

主要成果:

与预期管理 (n=79,30.4%) 相比,计划性诱导 (n=115) 与较低的,尽管在统计学上不显著的剖腹产分娩率 (19.1%) 相关.
这一趋势在平价组 (无双和多双) 中持续存在,诱导组的剖腹产率较低,但没有统计学意义.
两组之间在继发性母亲或新生儿结局方面没有发现显著差异.

结论:

在患有孤立多水症的患者中,分娩诱导显示了降低剖腹产率的趋势.
观察到的剖腹产率的减少没有达到统计学意义,因此需要进一步调查.
与预期管理相比,没有发现诱导对母亲或新生儿结局的不良影响.

关键词:

剖腹产是一个剖腹产.诱导是一种诱导.劳动力劳动力劳动力劳动力劳动力聚胺的多化物.

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