子宫内膜异位症和不良妊娠结果:一个病例对照研究
Fatemeh Shahmoradi1, Ladan Haghighi1, Marziyeh Noori1
1Department of Obstetrics and Gynecology, Iran University of Medical Sciences, Tehran, Iran.
International journal of reproductive biomedicine
|August 29, 2024
概括
患有子宫内膜异位症的妇女的怀孕与母亲不良后果的风险增加有关. 这包括更高的胎盘前,孕前和产后出血率,以及新生儿重症监护室入院率的增加.
科学领域:
- 生殖医学 生殖医学
- 产科和妇科 产科和妇科
- 围产期健康 围产期健康
背景情况:
- 子宫内膜异位症与怀孕有关,疼痛通常会减轻,但不良结果会增加.
- 系统性慢性炎症,其特征是细胞因子和生长因子升高,是子宫内膜异位症相关妊娠并发症的关键因素.
研究的目的:
- 调查子宫内膜异位症 (包括深层子宫内膜异位症和腺肌病) 与孕产妇和新生儿不良后果之间的关系.
- 评估子宫内膜异位症外科治疗对怀孕结果的影响.
主要方法:
- 一项涉及250名在2015年2月至2019年12月期间分娩的妇女的病例控制研究.
- 参与者被分为两组:125名患有子宫内膜异位症的妇女和125名没有子宫内膜异位症的妇女 (对照组).
- 关于母亲和新生儿健康的数据是从医院记录中提取的.
主要成果:
- 与对照组相比,患有子宫内膜异位症的女性的胎盘前,胎盘,胎盘断裂,子宫前,妊娠糖尿病和产后出血率显著更高.
- 患有子宫内膜异位症的母亲的婴儿在新生儿重症监护室的入院率更高 (40.7%vs24.8%).
- 对于妊娠年龄来说小的,在患有直肠子宫内膜异位症的母亲的婴儿中更为普遍.
结论:
- 子宫内膜异位症显著增加了怀孕期间母亲不良结果的风险.
- 患有子宫内膜异位症的妇女需要对潜在的妊娠并发症和新生儿不良结果进行更密切的监测.
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