在单子怀孕中,在怀孕20周之前的第一季度下血瘤和怀孕流产之间存在联系
Ying Lou1, Guili Chen1, Lanying Wang1
1Obstetrics and Gynecology Department, Yuyao People's Hospital, 800St Chengdong Road, Yuyao, 315400, Zhejiang, China.
Scientific reports
|December 3, 2024
概括
第一个三个月的腹腔下血瘤 (SCH) 增加了20周前流产的风险. 大型SCH也会增加胎盘断裂的风险,但dydrogesterone可能会提供预防流产的保护.
科学领域:
- 产科和妇科 产科和妇科
- 周围生理学 周围生理学
- 生殖医学 生殖医学
背景情况:
- 腹腔下血瘤 (SCH) 是怀孕早期常见的发现.
- SCH与不良妊娠结果之间的关联需要进一步澄清.
研究的目的:
- 为了研究第一季度下血瘤 (SCH) 与怀孕20周之前的怀孕流产之间的联系.
- 为了确定与SCH和妊娠损失相关的风险因素.
主要方法:
- 对1,144个单独怀孕的回顾性队列研究.
- 对第一季度超声波发现和怀孕结果的分析.
- 后勤回归用于分析风险因素.
主要成果:
- 在48.9%的怀孕中诊断出腹腔下血瘤 (SCH).
- SCH与20周前阴道出血和流产率的增加显著相关 (aOR 1.94).
- 早期SCH诊断 (7周前) 和大SCH与分别更高的流产和胎盘断裂风险有关. 使用二激素显示出一种保护作用 (aOR 0.28).
结论:
- 第一个三个月的腹腔下血瘤 (SCH) 是20周前流产的独立风险因素.
- 大型SCH与胎盘断裂的风险增加有关.
- 二可以降低SCH.怀孕中流产的风险.
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