孕期临产期结果与边界性Oligohydramnios的怀孕
Inshirah Sgayer1,2, Mohamed Elafawi1, Olga Braude1
1Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariyya, Israel.
Fetal diagnosis and therapy
|August 22, 2024
概括
满期怀孕的边缘性小水症增加了怀孕年龄较小的新生儿和由于胎儿痛苦而导致的剖腹产的风险. 建议对这些怀孕进行更密切的产前监测.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
- 新生儿结局的结果.
背景情况:
- 有限的证据存在关于边界性橄水症.
- 这项研究解决了对边缘性橄水症无并发期怀孕的围产期结局数据的需求.
研究的目的:
- 为了确定边缘性橄水症无并发症期怀孕的围产期结局.
- 为了比较边缘性橄水,橄水和正常的胎液指数 (AFI) 组之间的结果.
主要方法:
- 对2018-2022年怀孕的回顾性分析.
- 对边缘性油脂水 (AFI 5.1-8.0厘米),油脂水 (AFI ≤5厘米) 和正常的AFI (8.1-25厘米) 的结果进行比较.
- 将正常的AFI组与边缘性油脂水症组进行一对一的匹配,作为对照. 估计的出生体重,剖腹产对于胎儿的痛苦,美染色,阿帕格分数,NICU入院和SGA新生儿.
主要成果:
- 边缘性小水与较高的分娩率有关,分娩的新生儿比妊娠年龄小 (SGA) (aOR=3.6) 和由于胎儿痛苦的剖腹产 (aOR=3.0).
- 与对照组 (9.3%) 相比,边缘性水 (20.7%) 和水 (18.6%) 组的综合新生儿结局显著更高.
结论:
- 边缘性橄水症的孕妇面临SGA新生儿和剖腹产胎儿痛苦的风险增加.
- 研究结果表明,这些怀孕需要加强产前监测,重点关注胎儿生长异常的识别.
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