在怀孕期间,母亲质量的任何减少都会对妊娠和胎儿的结果产生影响
Giorgina Barbara Piccoli1, Rossella Attini2, Massimo Torreggiani1
1Néphrologie et Dialyse, Centre Hospitalier Le Mans, Le Mans, France.
Kidney international
|January 31, 2024
概括
管腔间歇性病会对怀孕的结果产生负面影响,即使是轻微的损伤. 减少质量,就像发炎一样,增加了早产风险,降低了出生体重.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 产科 产科 产科 产科 产科
- 周围生理学 周围生理学
背景情况:
- 在怀孕期间,管间脏病 (TINs) 的了解很少.
- 减少母亲质量可能会影响怀孕的结果.
研究的目的:
- 分析因TINs而复杂的怀孕中母亲和胎儿的结果.
- 了解母亲质量减少对怀孕的影响.
主要方法:
- 对托里诺卡利亚里观察研究 (TOCOS) 队列的分析.
- 包括421名患有TIN和1期慢性病 (CKD) 的妇女.
- 倾向性得分与842名低风险怀孕的对照组相匹配.
主要成果:
- 在TIN队列中,妊娠时间较短 (38.0 vs 39.0 周).
- 过早分娩 (<37周) 发生率增加 (单个脏最高:31.1%).
- 新生儿出生时体重逐渐降低,质量减少.
- 在TIN队列中,孕前风险较高 (3.6%对1.7%).
结论:
- 即使是轻微的脏质量减少 (例如,肌性痕) 也会缩短怀孕.
- 过早分娩的风险与脏辅酶体减少成正比.
- 孤独性脏具有对不良妊娠结果的最高风险.
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