在适合妊娠年龄的范围内减少胎儿生长估计是否会影响分娩结果?
Michal Ovadia1, Hadar Gluska1, Gal Cohen1
1Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Affiliated with School of Medicine, Tel Aviv University, 59 Tchernichovsky St, 44281, Kfar Saba, Israel.
Archives of gynecology and obstetrics
|February 27, 2024
概括
妊娠年龄相应的胎儿估计胎儿体重 (EFW) 百分位的下降与新生儿不良结果无关. 然而,与对照组相比,这些胎儿的出生体重确实较低.
科学领域:
- 周围生理学 周围生理学
- 胎儿医学 胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 准确的胎儿体重估计对于评估胎儿健康至关重要.
- 适合妊娠年龄 (AGA) 的胎儿的生长百分位数下降需要进一步调查.
- 了解EFW百分位数降低对新生儿结局的影响至关重要.
研究的目的:
- 为了研究估计胎儿体重 (EFW) 百分位数下降的临床意义,胎儿分类为适当的妊娠年龄 (AGA).
- 为了比较AGA胎儿与EFW百分位数显著下降和稳定增长的新生儿结局.
主要方法:
- 追溯性队列研究分析了第二和第三个月的超声波数据.
- 怀孕的比较,EFW下降≥30百分位数 (增长减缓组) 与没有 (对照组) 的怀孕相比.
- 排除EFW或出生体重低于10个百分点的分娩.
主要成果:
- 增长减缓组中有57例怀孕,对照组中有1553例怀孕.
- 在II/III类监测或剖腹产中,对于不令人放心的胎儿心率没有显著差异.
- 在两组之间观察到类似的新生儿不良后果率.
- 新生儿出生体重在增长减缓组明显较低.
结论:
- 在AGA胎儿中EFW百分位数的降低与新生儿不良结果的增加率无关.
- 虽然出生体重较低,但AGA胎儿EFW百分数下降的临床意义需要进一步研究.
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