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Updated: Jun 10, 2025

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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
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截止日期的表现和交付时间
Noa Leybovitz-Haleluya1, Alla Saban1, Adi Yariv1
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
The Israel Medical Association journal : IMAJ
|October 14, 2024
概括
在39周到39周+6周之间进行部表现的剖腹产 (CD) 与较少的突发手术和更好的孕产妇结果有关. 晚些时候分娩,在40周以上,增加了母亲的风险.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 手术结果研究研究
背景情况:
- 部呈现是剖腹产 (CD) 的首要原因,但CD的最佳时间仍然不清楚.
- 与部呈现CD时间相关的孕产妇和胎儿并发症需要进一步调查.
研究的目的:
- 调查剖腹产时妊娠年龄对部表现对孕产妇和胎儿并发症的影响.
- 为了确定CD的最佳妊娠年龄窗口,以尽量减少不良结果.
主要方法:
- 从2020年2月到2022年1月,对468张单学期单人式演讲CD进行了回顾性研究.
- 在CD时,在不同的妊娠年龄组中比较了母亲和新生儿的结果.
- 使用后勤回归模型来调整潜在的混因素.
主要成果:
- 在39+0到39+6周的剖腹产 (CDs) 显示出较早或较晚的怀孕相比,母亲的结果更好,CDs的出现率更低.
- 对于在怀孕40周以上 (调整后OR为2.094) 进行的CD,母亲的不良结果显著更高.
- 在早期 (37+0至38+6周,调整的OR1.65) 和晚些时候 (≥40周,调整的OR2.407) 妊娠年龄组中,新出现的CD更为频繁.
结论:
- 在39+0和39+6周之间进行部表现的剖腹产 (CD) 与改善母亲的结果有关.
- 在39+0至39+6周进行部表达的CD与减少突发性手术的发生率有关.
- 延迟CD超过39+6周的部表现可能会增加母亲的并发症风险.
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