辅助生殖技术与母亲不良结果的关联:一个队列研究
Zhaodong Liu1, Lu Yu2, Xiaomeng Kang3
1Zhaodong Liu Department of Obstetrics and Gynecology, Fujian Maternity and Child Health Hospital College of Clinical Medicine, for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian Province 350001, P.R. China.
Pakistan journal of medical sciences
|January 27, 2025
概括
辅助生殖技术 (ART) 怀孕与产后出血 (PPH) 的风险更高有关. 接受ART的妇女经历了PPH发病率和血液损失的增加,特别是在产后早期.
科学领域:
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 辅助生殖技术 (ART) 越来越多地用于不孕症治疗.
- 了解与ART怀孕相关的产前和产后风险对于母亲的护理至关重要.
- 产后出血 (PPH) 仍然是孕产妇发病的一个重要原因.
研究的目的:
- 通过辅助生殖技术 (ART) 进行怀孕和产后出血 (PPH) 的发生率之间的关联.
- 为了比较通过ART怀孕的妇女和自然怀孕的妇女在产后早期的流血模式.
主要方法:
- 福建妇幼医院11497名患者的临床记录的回顾性分析 (2013年3月 - 2018年12月).
- 患者被分为ART怀孕组和自然怀孕组.
- 在分娩后30,60,90和120分钟之间对PPH发生率和血液损失进行比较.
主要成果:
- 与自然受孕组 (1.58%) 相比,在ART组 (2.53%) 中,PPH的发病率明显高 (P < 0.001).
- 在阴道分娩和剖腹产分娩中,ART受孕与PPH率的增加有关 (P < 0.001).
- 在ART组中,分娩后30分钟和60分钟观察到更大的血液损失,无论分娩方式如何.
结论:
- 辅助生殖技术 (ART) 与较差的孕产妇结果有关,特别是产后出血的发生率增加.
- 较高的产后早期流血 (30分钟和60分钟) 是ART怀孕的显著发现.
- 这些发现凸显了在接受过ART的妇女中提高对PPH的警和监测的需要.
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