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在产后的阴道分娩中进行常规操作:一个前性队列研究
Salma Touleimat1, Sophia Braund1, Pierre Delorme2
1Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
产后阴道分娩期间的例行操纵并没有增加新生儿发病率. 不良周产期结局在各组之间是相似的,初级和低出生体重是相关因素.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 产后阴道分娩与母亲和新生儿的潜在风险有关.
- 常规机动在缓解或加剧这些风险方面的作用仍然是临床调查的主题.
- 了解与特定分娩技术相关的结果对于优化产科实践至关重要.
研究的目的:
- 为了评估产后阴道分娩的新生儿和母亲的结果.
- 为了比较涉及常规机动的分娩与不涉及的分娩之间的结果.
主要方法:
- 多中心PREMODA前性观察研究的二次分析.
- 包括阴道后分娩的妇女,但不包括那些因肌痛而有动作的人.
- 通过多变量逻辑回归进行调整分析,比较有和没有常规操纵的组之间的孕产妇和新生儿结局.
主要成果:
- 总共有1163名妇女被纳入 (537名在常规机动小组,626名在没有机动小组).
- 周产期不良结果的发生率相似 (4.5%对5.0%,P=0.65),没有新生儿死亡.
- 第三度围破裂和产后出血率相似;初级生育和出生体重<2500g与不良结果有关.
结论:
- 在预产后的阴道分娩中进行的常规操作与新生儿发病率的增加无关.
- 该研究确定了初级亲属和低出生体重是与不良围产期结果相关的因素.
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