双胞胎分娩:诱导劳动是否有所不同?
L Rüegg1,2, L Vonzun3,4,5, J Wawrla-Zepf3,5
1Department of Obstetrics, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland. ladina.rueegg@usz.ch.
Archives of gynecology and obstetrics
|March 14, 2025
概括
在双胞胎怀孕中诱导分娩显著增加了剖腹产 (CD) 的速度. 对于未来的父母来说,关于与双胞胎出生和分娩诱导相关的风险的仔细咨询是必不可少的.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 围产期结局的结果
背景情况:
- 双胞胎怀孕对母亲和新生儿都有独特的风险.
- 在双胞胎妊娠中,分娩方式的决定需要仔细考虑潜在的并发症.
- 在双胞胎怀孕中诱导分娩可能会影响分娩结果.
研究的目的:
- 分析双胞胎怀孕中的分娩方式.
- 评估劳动诱导对剖腹产 (CD) 率和围产期结果的影响.
- 为了确定CD和长时间交织间隔 (≥15分钟) 的风险因素.
主要方法:
- 在一个中心对267例双胞胎怀孕进行了回顾性队列研究.
- 阴道双胞胎分娩的纳入标准:妊娠年龄>34周,领头双胞胎,估计体重差异≤500克,没有先前的子宫手术.
- 妇女分为阴道分娩,双胞胎的CD,或第二个双胞胎组的紧急CD.
主要成果:
- 诱导分娩与显著更高的CD率相关 (47%对23%,p<0.001).
- 诱导分娩和无双性被确定为双胞胎CD的风险因素.
- 双胞胎间隔≥15分钟的风险因素是母亲的年龄和第二个双胞胎的体重,这与第二个双胞胎的下动脉pH相关.
结论:
- 在双胞胎怀孕中,当劳动诱导是必要时,剖腹产产率几乎翻了一番.
- 结果强调了全面的患者咨询的重要性,包括双胞胎分娩固有的风险和诱导的潜在影响.
相关概念视频
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
404
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
404
01:24In Vitro Fertilization
178
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
178