怀孕初期喘对围产期结果的影响:一项回顾性队列研究
Jinyu Gu1, Tongxin Li2, Yishan Ding3
1Center for Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China; National Clinical Research Center on Obstetrics and Gynecology Disease, Beijing, China; Department of Obstetrics and Gynecology, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang, China.
怀孕期间新发喘增加了诸如早产等不良结果的风险. 医疗保健提供者应监测孕妇的喘症状和相关并发症,如高血压和产前.
科学领域:
- 产科和妇科 产科和妇科
- 肺部病理学 肺部病理学
- 产周医学 产周医学
背景情况:
- 怀孕期间喘发作对怀孕结果的影响尚不清楚.
- 在临床管理中,比较怀孕初期喘和怀孕前喘的结果至关重要.
研究的目的:
- 调查怀孕期间诊断的喘是否会导致与怀孕前诊断的喘相比,围产期的结果较差.
- 为了确定与怀孕初期喘相关的特定风险.
主要方法:
- 对患有喘的妇女进行回顾性队列分析,这些妇女生下了活着的单身婴儿.
- 将参与者分为"怀孕初期喘"和"怀孕前喘"两组.
- 组间临床特征,围产期结局和喘恶化 (AE) 的比较.
主要成果:
- 怀孕初期喘与更高的慢性高血压,叠加性孕前和自发早产率有关.
- 所有患有孕期喘的妇女在怀孕期间都经历了副作用.
- 怀孕初期喘独立预测了自发的早产 (aOR=7.71),严重的AE预测了妊娠高血压和孕前 (aOR=3.58).
结论:
- 怀孕期间出现的喘与怀孕期间喘恶化增加有关.
- 产科医生必须警孕妇的新喘诊断.
- 医疗保健提供者应对所有患有喘的孕妇进行妊娠高血压和产前的监测.
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