在有剖腹产史的妇女中,发展剖腹产痕怀孕的潜在危险因素
Shurong Liu1, Xiaqin Liu2, Qi Chen3
1Department of Gynaecology, Obstetrics and Gynaecology Hospital, Fudan University of China, Shanghai, China.
概括
剖腹产痕怀孕 (CSP) 的危险因素包括怀孕,先前的分娩,连续的剖腹产和手术堕胎. 怀孕之间的间隔是2型CSP的风险因素.
科学领域:
- 生殖医学 生殖医学
- 产科和妇科 产科和妇科
背景情况:
- 剖腹产痕怀孕 (CSP) 影响了之前剖腹产的女性的0.2%-0.5%.
- 由于其发病率低,CSP的关键风险因素仍未得到充分研究.
- CSP被分为1型和2型.
研究的目的:
- 为了研究在有剖腹产史的妇女中,CSP发展的潜在风险因素.
- 分析区分1型和2型CSP的风险因素.
主要方法:
- 追溯研究包括201名患有CSP (1或2型) 的妇女和1700名之前有剖腹产但没有CSP的对照.
- 怀孕的比较,以前的活产,连续的剖腹产,手术性堕胎,妊娠间隔和母亲的年龄.
主要成果:
- 怀孕,先前活产的数量,连续的剖腹产和手术堕胎与CSP有显著的关联,无论亚型如何.
- 妊娠间隔与只有2型CSP有显著的关联.
- 孕产妇的年龄不是一个独立的风险因素;中国的CSP发病率较高.
结论:
- 剖腹产史是中枢神经瘤的主要危险因素.
- 手术堕胎的数量是CSP发展的一个重要因素.
- 妊娠间隔是2型CSP的特定风险因素.
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