对孕期大胎儿的查对母亲和新生儿的结果的影响:一项前性观察性研究
Benjamin Birene1, Alexandre Ferreira1, Emilie Raimond1
1Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims, France.
Journal of perinatal medicine
|December 17, 2024
概括
在低风险怀孕中,胎儿宏观症查可能会增加剖腹产和仪器分娩率,但不会改善母亲或新生儿的结果. 需要进一步的研究来完善查协议,以便更好地准高风险人群.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 胎儿宏观症的管理仍然是争论的主题.
- 查方案对母亲和新生儿的结果的影响需要评估.
- 当前的查实践可能会产生意想不到的后果.
研究的目的:
- 评估第三个月的胎儿巨检查方案的后果.
- 确定查对分娩方式,产妇并发症和新生儿健康的影响.
- 评估分娩期间新生儿创伤的发生情况.
主要方法:
- 预期的观察性,多中心队列研究.
- 包括低风险怀孕有资格进行胎儿宏观症查.
- 使用AUDIPOG曲线,新生儿宏观体质的定义是90百分点以上的体重.
主要成果:
- 查与更高的剖腹产和仪器分娩率有关,而不管确切的诊断.
- 在怀孕年龄相对较大的新生儿和适当的日期新生儿中观察到更高的比率.
- 查没有降低孕产妇或新生儿发病率和死亡率.
结论:
- 胎儿宏观症查可能会导致手术性分娩率的增加.
- 观察到的分娩方式的变化没有影响母亲或新生儿健康结果.
- 对高风险人群来说,查方案可能需要改进,以减轻潜在的副作用.
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