孕妇子宫内膜异位症的孕妇之间的孕产妇和胎儿结局
Sara Abdessamie1, Nicholas Czuzoj-Shulman2, Haim Arie Abenhaim1,2
1Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Journal of perinatal medicine
|November 4, 2024
概括
怀孕时患有子宫内膜异位症会增加母亲和新生儿的风险,包括先兆子和早产. 医疗保健提供者应密切监测这些高风险怀孕.
科学领域:
- 生殖医学 生殖医学
- 产科和妇科 产科和妇科
- 围产期流行病学 围产期流行病学
背景情况:
- 子宫内膜异位症是一种常见的疾病,影响生殖年龄的女性,其特点是与子宫外生长的类似子宫内膜的组织.
- 在过去的二十年中,子宫内膜异位症在怀孕中的患病率显著增加.
研究的目的:
- 调查妊娠期间子宫内膜异位症与母亲和新生儿不良结果之间的联系.
- 为了确定怀孕期间与子宫内膜异位症相关的特定风险.
主要方法:
- 一项回顾性队列研究,利用来自美国1999-2019年全国住院患者样本 (NIS) 的数据.
- 采用多变量逻辑回归模型来分析关联,并根据母亲的特征进行调整.
主要成果:
- 从1999年到2019年,在怀孕期间观察到子宫内膜异位症患病率大幅增加.
- 怀孕期间患有子宫内膜异位症的个体更有可能是老年人,白人,社会经济地位较高,肥胖和吸烟者.
- 怀孕期间的子宫内膜异位症与子宫前,妊娠期糖尿病,胎盘前,胎盘断裂,早产,腹膜炎,产后出血,胎儿生长限制和先天异常的几率增加有关.
结论:
- 怀孕期间的子宫内膜异位症显著增加了对母亲和新生儿的不良后果的风险.
- 产科护理人员必须保持对这些风险的高度认识,并对患有子宫内膜异位症的孕妇进行密切监测.
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