患有结椎炎的妇女的产科和新生儿结局 - - 对人口数据库的评估
Uri Amikam1,2, Ahmad Badeghiesh3, Haitham Baghlaf4
1Department of Obstetrics and Gynecology, McGill University, 845 Rue Sherbrooke, O, Montreal, Montréal, Quebec, QC, 3HA 0G4, Canada. uriamikam@gmail.com.
BMC pregnancy and childbirth
|October 3, 2024
概括
患有结性脊柱炎 (AS) 的女性面临剖腹产,妊娠糖尿病和胎盘前产的风险更高. 她们的怀孕还显示出婴儿出生率较小的孕期新生儿和子宫内胎儿死亡率的增加.
科学领域:
- 类风湿病学 类风湿病学
- 产科 产科 产科 产科 产科
- 周围生理学 周围生理学
背景情况:
- 化脊柱炎 (AS) 是一种慢性类风湿性疾病,影响轴骨和关节.
- 阿斯在生育年龄的女性中很普遍,但怀孕结果数据是相互矛盾的.
- 这项研究比较了患有AS和没有AS的妇女的怀孕和围产期结局.
研究的目的:
- 为了比较患有缩性脊髓炎 (AS) 和没有这种疾病的妇女之间的怀孕和产周结果.
- 为了确定怀孕期间与AS相关的特定产科和新生儿风险.
主要方法:
- 使用HCUP-NIS数据库 (2004-2014) 的回顾性队列研究.
- 包括有或没有ICD-9诊断的AS的孕妇.
- 多变量逻辑回归调整为混因子,以比较结果.
主要成果:
- 患有AS的女性的剖腹产 (aOR1.47),孕期糖尿病 (aOR1.55) 和胎盘前 (aOR3.6) 的比率更高.
- 新生儿结局包括AS组中较高的妊娠年龄小 (SGA) 婴儿 (aOR 2.19) 和子宫内胎儿死亡 (IUFD) (aOR 3.46) 的新生儿结局.
- 患有AS的女性更有可能是老年人,白人,来自高收入季度,并且有多胎妊娠.
结论:
- 结性脊柱炎与产科并发症的增加有关.
- 患有AS的孕妇面临剖腹产,SGA新生儿和IUFD的风险增加.
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