在一个单一的三级护理中心,产妇心脏病和围产期结局
Huriye Ezveci1, Şükran Doğru1, Fatih Akkuş1
1Necmettin Erbakan University (NEU) Meram Faculty of Medicine, Clinic of obstetric and gynecology Division of maternal and fetal medicine, Konya, Turkey.
Zeitschrift fur Geburtshilfe und Neonatologie
|June 3, 2024
概括
患有心脏病的孕妇面临更高的孕前,剖腹产和新生儿不良后果的风险,如降低出生体重和NICU入院. 遗传性和获得性心脏病显示出类似的周产期不良结果.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 新生儿科学 新生儿科学
背景情况:
- 母亲心脏病显著影响怀孕的结果.
- 了解怀孕期间与先天性心脏病相比获得性心脏病相关的特定风险至关重要.
研究的目的:
- 为了比较患有心脏病的孕妇和健康对照者的围产期结果.
- 评估孕妇与先天心脏病相比获得心脏病的产妇和新生儿的结果.
主要方法:
- 对258名孕妇 (129名心脏病患者,129名健康对照) 的回顾性研究.
- 从电子记录中收集的数据,重点关注社会人口统计学因素和围产期结果.
- 组间结果的比较,包括对先天性心脏病与获得性心脏病的分析.
主要成果:
- 患有心脏病的孕妇有更高的孕前和剖腹产率.
- 胎儿不良结果包括出生体重较低,胎儿生长限制较高 (FGR),出生百分位数较低和5分钟APGAR分数较低.
- 心脏病组的新生儿结局更糟,NICU入院率更高,NICU停留时间更长.
- 出生时的妊娠年龄在先天性和获得性心脏病组之间没有显著差异.
结论:
- 与健康怀孕相比,孕产妇的心脏病与不良周产期结果有关.
- 在本研究人群中,先天性心脏病和获得性心脏病并没有表现出不同的不良周产期结局.
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