患有骨盆内膜异位症的妇女的产科结果:一项前性队列研究
Elisabeth M R Bean1, Jure Knez2, Nikolaos Thanatsis1
1Elizabeth Garrett Anderson Institute for Women's Health, Faculty of Population Health Sciences, University College London (UCL), London, United Kingdom.
Fertility and sterility
|June 5, 2024
概括
患有子宫内膜异位症的妇女在剖腹产和新生儿病房入院期间面临产后出血的风险增加. 然而,这个群体中早产率并没有显著上升.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 产周研究 产周研究
背景情况:
- 子宫内膜异位症是一种慢性炎症性疾病,影响生殖年龄的女性.
- 它对产科结果的影响需要进一步调查,特别是在怀孕早期.
研究的目的:
- 为了比较孕妇与没有子宫内膜异位症之间的产科结果.
- 为了确定怀孕期间与子宫内膜异位症相关的特定风险.
主要方法:
- 伦敦大学学院医院的前性观察队列研究.
- 包括110名患有子宫内膜异位症的妇女和393名没有子宫内膜异位症的妇女,所有这些妇女都接受了第一季度查.
- 盆腔超声波评估了子宫内膜异位和子宫异常;监测了各种产科结果.
主要成果:
- 患有子宫内膜异位症的妇女在剖腹产期间 (aOR 3.64) 和新生儿病房入院 (aOR 3.24) 出现分娩后出血的几率显著增加.
- 那些患有深层子宫内膜异位症的人患有胎盘部位疾病的几率增加 (aOR 8.65) 和产后败血症 (aOR 3.47).
- 对于患有子宫内膜异位症的女性来说,没有观察到过早分娩几率的统计学显著增加.
结论:
- 子宫内膜异位症不会增加早产的风险.
- 患有子宫内膜异位症的孕妇在剖腹产分娩和婴儿入院新生儿病房期间更有可能出现产后出血.
- 特定的子类型的子宫内膜异位症可能与胎盘并发症和产妇内败血症有关.
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