在GDMA1之前和之后的妇女中,母亲和胎儿的结果
Eyal Weiss1, Tamar Eshkoli1, Yael Baumfeld1
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
European journal of obstetrics, gynecology, and reproductive biology
|December 17, 2023
概括
孕期糖尿病和高血压 (GDMA1) 妇女在40周后分娩时,不良妊娠结果没有增加. 过期分娩与剖腹产和子宫前的减少有关.
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
- 生殖内分泌学 生殖内分泌学
背景情况:
- 孕期糖尿病和高血压 (GDMA1) 是影响母亲和胎儿健康的重大并发症.
- 对于GDMA1患者来说,最佳分娩时间仍然是一个关键的临床问题.
研究的目的:
- 为了调查分娩时间 (怀孕40周之前与之后) 与GDMA1.1妇女的不良妊娠结果之间的关联.
- 为了确定在GDMA1怀孕中过期分娩是否与风险增加有关.
主要方法:
- 一项基于人口的队列研究使用了1988-2016年的数据.
- 包括11,765名患有GDMA1的妇女,将40周前分娩的妇女 (n=10,462) 与40周后分娩的妇女 (n=1303) 进行比较.
主要成果:
- 40周后的分娩与剖腹产和子宫前率显著降低有关.
- 在40周后分娩的女性中,自发性阴道分娩和分娩诱导的比率更高.
- 然而,41周后的分娩与剖腹产和妊娠年龄大 (LGA) 婴儿的分娩率增加有关.
结论:
- 在经过GDMA1并发症的怀孕中,按期分娩 (40周后) 似乎不会增加不良结果.
- 在这个队列中,剖腹产率直到怀孕41周后才显著增加.
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