性别平等是晚期早产的危险因素吗? 来自大型队列研究的结果
Lior Kashani-Ligumsky1,2, Ran Neiger3, Ella Segal2
1Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak 51544, Israel.
Journal of clinical medicine
|January 23, 2024
概括
第一次母亲面临自发晚期早产和意外剖腹产的更高风险. 这增加了他们的婴儿新生儿不良后果的可能性.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 围产期流行病学 围产期流行病学
背景情况:
- 晚期早产 (34-36周怀孕) 占大多数早产.
- 虽然结果比早期的早产更好,但这些婴儿面临着增加的并发症风险.
- 均,即以前的分娩数量,是影响产科并发症的已知因素.
研究的目的:
- 调查平价对自发晚期早产 (SLPTB) 风险的影响.
- 确定平价是否会影响SLPTB相关新生儿并发症的风险.
主要方法:
- 追溯观察队列研究.
- 患者根据平价被分为三组:primiparas,multiparas和grandmultiparas.患者根据平价被分为三组:primiparas,multiparas和grandmultiparas.
- 主要结果:SLPTB的比率. 二次结局包括无计划剖腹产 (UCD) 和综合不良新生儿结局 (CANO).
主要成果:
- 与多种类和大多种类相比,Primiparas的SLPTB发病率显著更高.
- 与多种类型相比,Primiparas也显示UCD和CANO的可能性增加.
- 在primiparas和grandmultiparas之间没有观察到UCD发病率的显著差异.
结论:
- 第一次母亲 (primiparas) 面临自发晚期早产和意外剖腹产的风险更大.
- 在初生儿中这种高风险与新生儿不良后果的更高发病率有关.
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