夜间分娩与白天分娩的产科结果与分娩外周:一项观察性回顾性研究
Stefano Catarci1, Bruno Antonio Zanfini1, Emanuele Capone1
1Department of Scienze Dell' Emergenza, Anestesiologiche e Della Rianimazione, IRCCS Fondazione Policlinico A. Gemelli, 00168 Rome, Italy.
Journal of clinical medicine
|September 14, 2024
概括
没有外周术的夜间分娩增加了剖腹产和手术性阴道分娩. 麻醉学并发症,如腹腔穿刺,在夜间分娩期间也更频繁.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 围产儿医学 围产儿医学
背景情况:
- 之前的研究表明,产科结果的变化基于昼夜周期.
- 这项研究调查了分娩外周术和分娩时间对母亲和新生儿结果的影响.
研究的目的:
- 分析夜间与白天分娩和产科结果之间的关联.
- 评估分娩外周周道对这些结果的影响,并确定潜在的并发症.
主要方法:
- 在11年间 (2008年10月 - 2019年10月) 进行了29831次交付的回顾性分析.
- 分类为白天 (8:00 AM - 7:59 PM) 或夜间 (8:00 PM - 7:59 AM) 的交货.
- 评估了母亲和新生儿的结果,包括分娩类型和麻醉学并发症.
主要成果:
- 在夜间缺少分娩外周术与剖腹产 (OR 1.35) 和手术性阴道分娩 (OR 1.21) 的显著增加有关.
- 与白天相比,夜间分娩的意外持续性穿刺发病率较高 (0.4%).
- 在夜间和白天分娩之间没有观察到分娩时间的显著差异.
结论:
- 在夜间缺少分娩外周术与剖腹产和手术性阴道分娩的增加率有关.
- 夜间分娩带有更高的麻醉并发症风险,特别是意外的硬膜穿刺.
- 产生的时间和外围注射器的使用是影响产科结果和安全性的关键因素.
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