患有心脏病的孕妇的孕产妇和产周结局:一个病例对照研究
Irene Aracil Moreno1,2,3, Raquel Prieto-Arévalo3,4,5, Virginia Ortega-Abad1,2,3
1Department of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain.
Journal of clinical medicine
|September 14, 2024
概括
患有心脏病 (HD) 的孕妇面临更高的风险,包括主要的心脏不良事件和剖腹产率更高. 这些发现凸显了怀孕期间心脏病专业护理的重要性.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕期间的心脏病 (HD) 对母亲和胎儿都带来了独特的挑战.
- 了解先前存在的心脏病对怀孕结果的影响,对于临床管理至关重要.
研究的目的:
- 分析和比较患有心脏病的孕妇与健康对照之间的产科和心脏病结果.
- 为了确定与怀孕期间和产后期心脏病相关的特定风险和并发症.
主要方法:
- 追溯性,单中心病例控制研究,涉及141名患有HD的孕妇和264名匹配的健康对照.
- 2010年至2018年间收集的数据,重点关注产科特征,心脏事件和新生儿结局.
- 匹配标准包括分娩日期,平价和单独/双胞胎怀孕状态.
主要成果:
- 19.9%的患有HD的母亲经历了主要不良心脏事件 (MACE),其中5%需要接受ICU治疗.
- 在HD组中,剖腹产率 (37.1%对18.2%),全身麻醉使用率和长时间住院率显著增加.
- 在患有HD的母亲的新生儿中观察到新生儿低出生体重 (OR 1.96) 的发病率增加;这些新生儿中有13.2%患有先天性心脏病.
结论:
- 心脏病在怀孕期间显著增加了母亲的死亡率.
- 患有心脏病的妇女怀孕与剖腹产和低出生体重婴儿的发育率增加有关.
- 这些发现强调了对心脏病患者的孕妇进行全面的产前和产周护理的必要性.
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