根据家庭的严重程度分类肩膀缩症:全国人口研究
Svein Rasmussen1, Cathrine Ebbing1,2, Elham Baghestan1,2
1Maternal-Fetal-Neonatal Research Western Norway, Department of Clinical Science, University of Bergen, Bergen, Norway.
Acta obstetricia et gynecologica Scandinavica
|January 8, 2024
概括
在同一位女性的后续分娩中,肩膀缩的复发率很高,特别是严重的病例. 肩膀缩症的代际复发风险在母亲方面比父亲方面更大.
科学领域:
- 产科和妇科 产科和妇科
- 围产期流行病学 围产期流行病学
- 生殖健康 生殖健康
背景情况:
- 肩膀缩症的复发是已知的危险因素,但严重程度的具体数据和代际传播研究不足.
- 了解复发模式对于管理未来怀孕和改善分娩结果至关重要.
研究的目的:
- 根据重症程度,评估同一女性中肩膀缩的复发风险.
- 为了评估从母系和父系的肩膀缩症的代际复发风险.
- 为了确定后续分娩的可能性和计划的剖腹产后的肩膀dystocia.
主要方法:
- 基于人口的队列研究,利用挪威的医学出生登记.
- 对同一个母亲的1,091,067个出生对进行了分析,以检测世代内复发的情况.
- 检查了824,232个母子和614,663个父子对,以检查代际复发.
主要成果:
- 在同一个妇女的后续分娩中,肩膀缩的高复发风险 (调整后的RR2.99).
- 严重的肩膀复发严重的重复风险显著增加 (在暴露和结果时调整RR6.29).
- 代际复发风险在母亲方面较高 (调整后的RR 1.90) 与父亲方面相比 (调整后的RR 1.19).
- 患有肩膀缩病史的妇女在随后的分娩中计划剖腹产的比率增加 (16.0%为严重病例).
结论:
- 强有力的证据表明,在同一个人的后续怀孕中,肩膀缩症复发,尤其是严重的形式.
- 母亲血统显示,与父系血统相比,肩膀缩症的代际传播风险更高.
- 肩膀缩病史影响了未来怀孕中计划剖腹产的决定.
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