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在单体阴道分娩中,BMI,表皮切割和产科关节损伤 (OASIS) 之间的关联

Eiman Shalabna¹, Mayan Yinon², Yair Daykan³

¹Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

European journal of obstetrics, gynecology, and reproductive biology

|June 12, 2024

概括

肥胖和超重的妇女在阴道分娩期间产科关节损伤 (OASIS) 和表皮切割的发生率较低. 这表明,在肥胖患者中,对表皮切除术采取更保守的方法可能是有益的.

科学领域:

产科和妇科产科和妇科
围产期护理围产期护理
孕产妇健康孕产妇健康

背景情况:

在生育年龄的妇女和怀孕期间,肥胖的患病率不断上升.
关于身体质量指数 (BMI) 与产科关节损伤 (OASIS) 或表皮切割之间的关系的有限研究.

研究的目的:

调查母亲的体重指数 (BMI) 与OASIS和表皮切割的发生率之间的联系.
在经历自发性阴道分娩的妇女中,在不同BMI类别中比较OASIS和表皮切割率.

主要方法:

在2015年1月至2021年12月期间,对13932例自发单体阴道分娩进行了回顾性队列研究.
将分娩分为三个BMI组:正常 (<25公斤/米2),超重 (25.0-29.9公斤/米2),肥胖 (≥30公斤/米2).
主要结局包括OASIS (三度和四度围撕裂) 的发生率和表皮切割率.

主要成果:

在研究人群中,肥胖的患病率为25.4%,超重是43.1%,正常的BMI为34.7%.
多变量分析显示,与正常体重女性相比,肥胖 (OR 0.2) 和超重 (OR 0.3) 妇女的OASIS率明显较低.
与正常体重组相比,肥胖女性的表皮切除率 (OR 0.7) 较低.

结论:

肥胖妇女在阴道分娩期间经历了OASIS的发病率下降.
肥胖女性的表皮切割率较低,这表明一种更保守的方法可能有好处.
这些发现表明,产科诊所需要考虑为肥胖患者量身定制的表皮切除术策略.

关键词:

先进的周围眼.身体质量指数 (BMI) 是指身体质量指数.这是一种表皮切除术 (episiotomy).肥胖问题肥胖问题产科关节损伤 (OASIS) 产科

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