在体外受精妊娠中的第三阶段并发症:一项观察性研究
Reema T Magar1, Parvathi Tejanaik1, Haritha Sagili1
1Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, IND.
Cureus
|July 25, 2024
概括
在体外受精 (IVF) 怀孕面临第三阶段分娩并发症的风险,特别是产后出血 (PPH). 然而,辅助生殖技术 (ART) 的因素,如胚胎移植类型,并不是显著的风险因素.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 体外受精 (IVF) 是一种常见的辅助生殖技术 (ART).
- 第三阶段的分娩并发症,如产后出血 (PPH),可以发生在任何怀孕.
- 了解试管婴儿怀孕中的特定风险对于改善母亲护理至关重要.
研究的目的:
- 通过试管婴儿怀孕的怀孕中识别第三阶段的分娩并发症.
- 确定与IVF怀孕中这些并发症相关的风险因素.
主要方法:
- 一项前性观察性研究,涉及217名试管婴儿怀孕的妇女.
- 用后勤回归来记录第三阶段的分娩并发症,并分析风险因素.
- 在2022年3月至2023年11月期间,从印度南部的一家三级医疗大学医院收集的数据.
主要成果:
- 23.5%的试管婴儿怀孕经历了第三阶段并发症,PPH是最常见的 (20%).
- PPH的危险因素包括多胎妊娠,手术性阴道分娩和紧急剖腹产.
- 产妇感染与保留和附着的胎盘有关;与ART相关的因素没有显著的关联.
结论:
- 试管婴儿怀孕有第三阶段并发症的风险,特别是PPH.
- 与这些并发症相关的是特定的分娩方法和产后事件,而不是ART因素.
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