在低风险怀孕的妇女中,总减速和加速度区域和带血pH之间的相关性
Noam Shema1,2, Adi Y Weintraub3, Reut Rotem4
1Department of Obstetrics and Gynecology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Soroka University Medical Center, Beer Sheva, Israel. noam.sh3@gmail.com.
Reproductive sciences (Thousand Oaks, Calif.)
|January 22, 2024
概括
在低风险怀孕中,在监测的最后120分钟内,胎儿减速面积增加与新生儿酸血相关. 胎儿加速区域没有显示出对这种并发症的保护作用.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿监测 胎儿监测 胎儿监测
- 新生儿酸血症 新生儿酸血症
背景情况:
- 胎儿酸在低风险怀孕中不常见,但在产前确定有风险的病例至关重要.
- 电子胎儿监测 (EFM) 用于评估分娩期间胎儿的健康状况.
研究的目的:
- 评估EFM最后120分钟的总减速面积和总加速面积之间的相关性,以及低风险怀孕中新生儿酸血症.
- 为了确定加速是否在减速的情况下对酸血有保护作用.
主要方法:
- 对109名有期低风险怀孕的妇女进行了回顾性队列研究.
- 在交付前的最后120分钟内,EFM追踪被一个盲人研究人员分析.
- 主要结局:胎儿酸血症 (动脉pH<7.10). 使用了斯皮尔曼相关系数.
主要成果:
- 六名婴儿 (5.5%) 的带血pH值低于7.10.
- 在总减速区域和带血pH (p=0.01) 之间发现了显著的相关性.
- 在总加速面积和带血pH之间没有发现显著的相关性.
结论:
- 在低风险怀孕中,EFM最后120分钟的总减速区域与新生儿酸血相关.
- 在此期间,总加速面积似乎没有对新生儿酸性血症产生保护作用.
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