影响多胎妊娠妇女选择性剖腹产的因素 在印度尼西亚卡鲁班,印度尼西亚
Muhammad Pradhiki Mahindra1, Mahendra Tri Arif Sampurna2, Muhammad Pradhika Mapindra3
1Maternal-Fetal Medicine Department, Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, WC1E 6AU, UK.
F1000Research
|December 18, 2023
概括
在双胞胎怀孕中,剖腹产是常见的. 之前的剖腹产,胎儿缺陷表现和母亲年龄较大增加了风险,而分娩增强可能会降低风险.
科学领域:
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 围产期护理 围产期护理
背景情况:
- 剖腹产在双胞胎分娩中越来越受青,因为它被认为比阴道分娩更安全.
- 确定双胞胎怀孕中剖腹产的危险因素对于优化分娩结果至关重要.
- 这项研究调查了与双胞胎妊娠中剖腹产相关的孕产妇和产科因素.
研究的目的:
- 通过剖腹产分娩分娩双胞胎怀孕的妇女与阴道分娩之间的母亲特征和产科参数进行比较.
- 确定影响双胞胎怀孕中剖腹产决定的重大风险因素.
- 提供可以为临床实践和患者咨询提供关于双胞胎分娩方法的数据.
主要方法:
- 在印度尼西亚东爪的一家主要转诊医院对47例多胎妊娠的回顾性图表审查.
- 通过阴道分娩的妇女和经过剖腹产的妇女之间的人口统计和临床数据的比较.
- 统计分析以确定确定风险因素的赔率比率 (OR) 和置信区间 (CI).
主要成果:
- 更多的妇女通过剖腹产分娩 (n=35) 而不是阴道分娩 (n=12).
- 以前的剖腹产史 (OR 16.5) 和胎儿缺陷 (OR 8.25) 显著增加了剖腹产分娩的可能性.
- 较高的母亲年龄 (OR 1.26) 与较高的剖腹产率有关,而分娩增加 (OR 0.20) 降低了剖腹产的可能性.
结论:
- 在这个队列中,双胞胎怀孕的剖腹产率很高.
- 以前的剖腹产,胎儿缺陷,以及母亲的晚年是剖腹产在双胞胎怀孕中的关键风险因素.
- 建议进行更大规模的队列研究,以进一步阐明在双胞胎妊娠中剖腹产决定的多因素性质.
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