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在轻度至中度的异常多水症病例中,脑胎盘比率和围产期结局

Sukran Dogru¹, Fatih Akkus¹, Ali Acar¹

¹Division of Fetal and Maternal Medicine, Department of Obstetrics and Gynecology, Necmettin Erbakan University Medical School of Meram, Konya, Turkey.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|April 26, 2024

概括

在患有异常多水症的怀孕中,低胎儿大脑胎盘比率 (CPR) 表明紧急分娩,低Apgar分数和NICU入院的风险更高.

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:

异形多水症 (IP) 是一种过多的羊水过多的病症,病因不明.
在IP中评估胎儿福祉对于预测不良围产期结果至关重要.
大脑胎盘比率 (CPR) 反映了胎儿大脑和胎盘输液之间的平衡.

研究的目的:

评估胎儿心肺复苏术对单子妊娠中不良周产期结局的预测价值,其并发症为轻度至中度的异形多水症.

主要方法:

一项前性病例控制研究包括140名孕妇 (70名具有IP,70名对照).
动脉 (UA) 和中脑动脉 (MCA) 脉动度指数 (PI) 在妊娠36-40周测量.
计算了CPR,并将IP病例分为低CPR (<1.08) 和正常CPR (≥1.08) 两组.

主要成果:

与对照组相比,IP怀孕的MCAPI和CPR显著较低.
低CPR组 (<1.08) 由于胎儿痛苦而出现剖腹产的比率显著更高 (44.4%vs9.6%).
新生儿结局在低CPR组较差,5分钟Apgar分数<7和NICU入院率更高.

结论:

低胎儿心肺复苏率是轻度至中度的异常多水症中不良围产期结果的显著预测因素.
这一发现有助于识别需要更密切监测和及时干预的高风险怀孕.
使用心肺复苏可以帮助预测紧急分娩,低Apgar分数和NICU入院.

关键词:

阿普加尔的分数是什么?大脑胎盘比率的大脑胎盘比率胎儿的痛苦胎儿的痛苦异形多水症的多水症.围产期的结果.预测预测预测预测

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