交叉交付间隔的最佳切断:一个回顾性队列研究
Naphtali Justman1, Shmuel Somer2, Roee Goldfreind1
1Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel.
概括
10分钟的交叉分娩间隔 (IDI) 是新生儿酸血症的关键预测指标. 较长的IDI增加了双胞胎阴道分娩期间新生儿不良后果和并发症的风险.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 产周研究 产周研究
背景情况:
- 双胞胎的阴道分娩带来了独特的挑战,特别是关于第一个和第二个双胞胎出生之间的间隔.
- 了解新生儿不良结果的预测因素对于双胞胎分娩期间的有效管理至关重要.
研究的目的:
- 为了确定交叉分娩间隔 (IDI) 的最佳切割值,作为新生儿酸血症的预测指标.
- 评估长期IDI与双胞胎怀孕中母亲和新生儿不良结果之间的关联.
主要方法:
- 在2010-2019年间,对接受阴道双胞胎分娩的女性进行了回顾性队列研究.
- 使用接收器操作特征 (ROC) 曲线分析和Youden的J统计数据来确定IDI切线.
- 在短时间和长时间的IDI组之间,对母亲和新生儿的结果进行比较.
主要成果:
- 10分钟的交配间隔 (IDI) 被确定为预测新生儿酸血症 (动脉pH ≤7.1) 的最佳切断点.
- 在长时间的IDI (超过10分钟) 后分娩的新生儿的酸性血症率显着更高,5分钟Apgar分数较低.
- 长时间的IDI也与剖腹产和胎盘断裂率的增加有关.
结论:
- 超过10分钟的交配间隔是新生儿酸血症和不良结果的重要危险因素.
- 这些发现支持考虑在双胞胎阴道分娩期间缩短IDI的干预措施,以改善新生儿福祉.
- 10分钟的IDI切断为双胞胎怀孕的咨询和临床管理提供了宝贵的信息.
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