延长出生周围裂和风险因素的回顾性病例对照研究
Mohammad Dendini1, Sara K Aldossari2, Hydar A AlQassab3
1Urogynecology and Reconstructive Pelvic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Cureus
|April 29, 2024
概括
在分娩期间延长周围流 (EPT) 与高出生体重,更长的分娩和仪器分娩有关. 外周注射和助产士主导的护理可能会减少EPT发生率.
科学领域:
- 产科 产科 产科 产科 产科
- 孕产妇健康 孕产妇健康
- 外科手术的结果
背景情况:
- 延伸周围撕裂 (EPT),包括三度和四度伤,涉及在分娩期间关节或直肠内膜损伤.
- 这些严重的围损伤往往需要侵入性手术干预.
- 了解EPT风险因素对于制定预防策略和改善产科护理至关重要.
研究的目的:
- 识别和分析与阴道分娩中延长周周创伤 (EPT) 相关的风险因素.
- 为在沙特阿拉伯制定有针对性的产科护理建议提供证据.
主要方法:
- 一项病例控制研究审查了5000份阴道分娩记录 (2018年3月至2023年3月).
- 病例 (n=71) 患有>2级围损伤;对照组 (n=238) 患有≤2级损伤.
- 收集的数据包括母亲的年龄,平价,分娩时间,分娩方式,出生体重,外周术的使用和医疗保健工作者的经验.
主要成果:
- 较高的出生体重,延长的分娩,无胎儿和仪器分娩是EPT的重要风险因素.
- 无胎儿的患者EPT的几率是EPT的3.69倍;仪器分娩的几率是5.90倍.
- 助产士主导的护理和外围治疗与EPT的发病率较低有关.
结论:
- 预防围破伤需要精确的临床判断和预防措施.
- 外周麻醉证明了对EPT的保护作用.
- 进一步的研究和基于证据的指导方针对于减少EPT发生率和增强周围护理至关重要.
相关概念视频
Factors Affecting the Risk of Infection
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Relative Risk
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...


