产后早期停用和黄昏风险:系统性审查和元分析
Johanna Quist-Nelson1, Annemijn de Ruigh2, Elizabeth R Lemoine1
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Pregnancy hypertension
|July 17, 2024
概括
早期停止产后的治疗并没有增加黄昏症的发生率. 这种方法可能允许更快的行走和母乳养,建议它.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 在怀孕期间的药理学
背景情况:
- 产后硫酸的最佳持续时间,以预防黄昏症仍然没有定义.
- 目前的做法各不相同,需要研究早期停用与长期使用.
研究的目的:
- 为了评估早期产后中断对产后黄昏症发生率的影响,与24小时持续治疗相比.
- 评估二次结果,包括走路和母乳养的时间.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 搜索包括比较早期停止的研究与产后24小时的管理在孕前的妇女.
- 主要结局是产后黄昏症的发生率.
主要成果:
- 分析了9个涉及2183名女性的RCT.
- 在早期停止 (0.5%) 和24小时持续 (0.2%) 组之间没有观察到产后黄昏症发生率的显著差异 (RR 2.25,95% CI 0.5-9.9).
- 早期停止治疗与显著更早的行走和母乳养有关.
结论:
- 产后早期切断 (≤6小时或没有) 似乎不会显著增加产后黄斑症的风险,尽管这项研究可能不足.
- 需要治疗的患者数量很高,以防止一个黄昏症病例,类似于不建议使用的病例.
- 考虑省略产后是合理的,特别是如果已经给予足够的产后剂量.
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