子宫内膜异位症和怀孕,分娩和分娩的危险因素:一个病例对照研究
Carlo Alboni1, Marianna Cannoletta1, Sara Mosca2
1Unit of Minimally Invasive and Robotic Gynecologic Surgery, AOU Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.
Minerva obstetrics and gynecology
|November 8, 2024
概括
患有子宫内膜异位症的妇女怀孕与妊娠高血压,子宫前和胎盘前的风险增加有关. 虽然不增加剖腹产率,但子宫内膜异位症与更高的产后出血风险有关.
科学领域:
- 生殖医学 生殖医学
- 产科 产科 产科 产科 产科
- 妇科 妇科医生 妇科
背景情况:
- 人们通常认为子宫内膜异位症在怀孕期间会改善,但它可能会对怀孕的发展和结果产生负面影响.
- 在怀孕早期的不良事件可能会在怀孕期间持续存在,在女性内膜异位症.
研究的目的:
- 与对照组相比,研究子宫内膜异位症妇女的怀孕,分娩和新生儿后果.
- 确定怀孕和分娩期间与子宫内膜异位症相关的特定风险.
主要方法:
- 一项涉及91名患有子宫内膜异位症的女性的病例对照研究,按年龄对273名对照进行了1:3的匹配.
- 宫内膜异位症诊断的组织学确认. 宫内膜异位症诊断.
- 分析数据库,包括病史,妊娠过程,分娩方式和新生儿情况.
主要成果:
- 患有子宫内膜异位症的女性有更高的妊娠高血压率,子宫前和胎盘前.
- 在子宫内膜异位症组中观察到剖腹产和产后出血的发病率增加.
- 子宫内膜异位症独立地与剖腹产,高血压和剖腹产前的分娩相关;产后出血明显高.
结论:
- 子宫内膜异位症与子宫前,胎盘前出血和产后出血的风险增加有关.
- 子宫内膜异位症似乎不会增加剖腹产的风险.
- 在有子宫内膜异位症史的妇女怀孕时,医疗保健提供者应考虑这些风险.
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