根据疾病特征的炎症性肠病患者中剖腹产的风险:基于人口的研究
Andrea N Simpson1, Rinku Sutradhar2, Eric I Benchimol3
1Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON; Institute for Clinical Evaluative Sciences (ICES), Toronto, ON; Li Ka Shing Knowledge Institute, St. Michael's Hospital/Unity Health Toronto, Toronto, ON; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
|April 17, 2024
概括
炎症性肠病 (IBD) 患者的剖腹产率更高,这符合临床指南. 随后的分娩时间和率对于有和没有IBD的人来说是相似的.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 流行病学 流行病学
背景情况:
- 对于炎症性肠病 (IBD) 患者的剖腹产实践在指导方针一致性方面并不成熟.
- 了解这些做法对于优化这一群体的母婴护理至关重要.
研究的目的:
- 为了比较与IBD和没有IBD的原生夫妇分娩的剖腹产率.
- 根据IBD的特定特征来评估剖腹产分娩率.
- 与对照人群相比,评估IBD患者随后分娩的时间.
主要方法:
- 从1994年4月到2020年3月进行了一项回顾性,匹配的基于人口的队列研究.
- 15-55岁的IBD原发性个体与没有IBD的对照进行了匹配.
- 使用多变量条件后勤回归和Cox比例危险模型来分析剖腹产产生的几率和随后产生的时间.
主要成果:
- 共有7472名IBD患者与37360名对照人群进行了匹配.
- 在IBD组 (35.4%) 与对照组 (30.4%) 的剖腹产率更高,调整后的几率比率为1.27.
- 患有IBD和先前的乳头囊解剖的个体有最高的剖腹产分娩率 (66.5%).
结论:
- 在IBD患者中,剖腹产率的增加似乎符合指导方针.
- 患有IBD和没有IBD的个体表现出后续分娩的速度和时间相似.
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