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与乌克兰子宫内膜异位症相关的不良妊娠结果:多中心研究结果

Aidyn G Salmanov¹, Volodymyr V Artyomenko², Andrii O Shchedrov³

¹SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.

Wiadomosci lekarskie (Warsaw, Poland : 1960)

|August 6, 2024

概括

患有子宫内膜异位症的孕妇面临更高的严重孕产妇和新生儿并发症的风险. 在产前护理期间加强监测对于这些患者至关重要.

科学领域:

产科和妇科产科和妇科
生殖医学生殖医学
围产期健康围产期健康

背景情况:

子宫内膜异位症影响了相当一部分生育年龄的女性.
患有子宫内膜异位症的妇女的怀孕结果需要进一步调查.
了解这些风险对于改善母亲和婴儿健康至关重要.

研究的目的:

为了评估被诊断患有子宫内膜异位症的妇女的怀孕结果.
为了确定怀孕期间与子宫内膜异位症相关的特定的孕产妇和新生儿风险.
为了向临床实践提供有关子宫内膜异位症患者产前护理的信息.

主要方法:

2019年至2021年在乌克兰进行了一项多中心前性队列研究.
包括27,558名18岁或以上的孕妇.
使用后勤回归分析来确定赔率比率 (OR) 和95%置信区间 (CI).

主要成果:

患有子宫内膜异位症的妇女 (3.6%) 患有高血压,子宫前,出血,胎盘断裂,胎盘前和胎盘保留的风险增加.
新生儿结局包括早产 (28周和34周之前) 的风险更高,对于妊娠年龄来说小,先天性形和新生儿死亡.
具体的ORs从高血压的1.2到母亲的胎盘前的3.9,以及新生儿的新生儿死亡的1.8.

结论:

患有子宫内膜异位症的孕妇具有较高的母亲,胎儿和新生儿不良后果的风险.
确定的并发症是严重的,需要加强产前护理协议.
这项研究强调了针对有子宫内膜异位症史的孕妇进行有针对性的监测的重要性.

关键词:

乌克兰乌克兰乌克兰乌克兰负面的结果是不利的结果.子宫内膜异位症是什么?子宫内膜异位症是什么新生儿并发症新生儿并发症怀孕并发症怀孕并发症生殖健康生殖健康产科并发症产科并发症

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