在乳病的孕产妇,产科和新生儿结局
Khaled Alsabbagh Alchirazi1, Claire Jansson-Knodell2, Yazan Abu-Omar1
1Hospital Medicine Department, Cleveland Clinic, Cleveland, Ohio, USA.
Scandinavian journal of gastroenterology
|February 5, 2024
概括
怀孕患有乳病 (CD) 与孕产妇和新生儿并发症的风险更高有关. 医疗保健提供者应就这些怀孕风险向CD患者提供咨询.
科学领域:
- 产科和妇科 产科和妇科
- 胃肠病学 胃肠病学
- 新生儿科学 新生儿科学
背景情况:
- 病 (CD) 是一种影响小肠的自身免疫性疾病.
- 以前的研究表明,CD和不良妊娠结果之间存在潜在的关联.
研究的目的:
- 在大型队列中调查乳病对孕产妇,产科和新生儿结局的影响.
- 量化诊断为CD的妇女与怀孕相关的风险.
主要方法:
- 使用2015-2019年国家住院样本 (NIS) 数据库进行的回顾性队列研究.
- 使用ICD-10代码识别有CD和没有CD的孕妇患者.
- 多变量逻辑回归分析以确定赔率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 患有CD的女性有更高的妊娠高血压率,孕前和严重的孕前.
- CD与较少的没有并发症的满期分娩有关,但增加了对设备辅助分娩和严重阴道撕裂的需求.
- 患有CD的母亲出生的婴儿更有可能在妊娠年龄 (SGA) 中小.
结论:
- 怀孕期间的乳病与显著增加的孕产妇,产科和新生儿不良结果有关.
- 临床医生应该主动地与计划怀孕的乳病患者讨论这些高风险.
- 早期识别和管理风险可能会改善CD妇女的怀孕结果.
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