劳动时间是由劳动引入日的时间定义的
medRxiv : the preprint server for health sciences
|November 1, 2024
概括
劳动诱导时间根据一天中的时间而异,早晨的诱导时间最短. 最佳时机取决于母亲的因素,影响出生结果.
科学领域:
- 产科和妇科 产科和妇科
- 循环节生物学 日间生物
- 生殖健康 生殖健康
背景情况:
- 自发分娩和分娩表现出一个昼夜节律,在清晨和深夜达到顶峰.
- 这表明内源生物钟会影响分娩开始和分娩时间.
- 这项研究调查了分娩诱导时间是否也遵循节奏,并影响分娩时间和剖腹产风险.
研究的目的:
- 为了确定一天中的劳动诱导时间是否会影响劳动持续时间.
- 评估产业诱导时间是否会影响剖腹产的风险.
- 探索母亲的表型是否会改变诱导时间和出生结果之间的关系.
主要方法:
- 对3688名经过分娩诱导的妇女进行了回顾性研究.
- 对不同母体现象型的分娩诱导时间分析.
- 应用生存分析和考克斯比例危险模型来评估时间到分娩的差异.
主要成果:
- 劳动诱导表现出一个昼夜模式 (p<0.05).
- 劳动持续时间随着晚期诱导时间的增加而增加,达到23:00 (20.72小时) 和5:00 (14.74小时) 的峰值.
- 最佳的诱导时间因母体表型而异,特别是对于无产妇和有产妇肥胖妇女 (p<0.05).
结论:
- 诱导后的分娩时间受到昼夜节律的影响.
- 早晨的诱导时间与最短的分娩时间有关.
- 孕产妇的表型是确定劳动诱导最佳时间的关键因素.
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