胎盘位置位置和相关的产内,产后和新生儿并发症:全面的审查和元分析
Dayna D Whitcombe1, Zhuopei Hu2, Songthip T Ounpraseuth2
1Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham Street, Slot # 518, Little Rock, AR 72205-7199, USA.
Journal of clinical medicine
|March 17, 2025
概括
胎盘植入部位会影响怀孕的结果. 中线胎盘与更大的婴儿和更少的并发症有关,而低躺的胎盘增加了剖腹产和出血的风险.
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:
- 胎盘植入部位的变化与不良的分娩内,分娩后和新生儿并发症有关.
- 以前的审查已经产生了关于胎盘位置和怀孕结果的相互矛盾的结论.
研究的目的:
- 调查胎盘植入部位与产内,产后和新生儿结局之间的关系.
主要方法:
- 系统性审查遵循流行病学观察性研究 (MOOSE) 准则的元分析.
- 在PubMed,CINAHL和Embase数据库中进行文献搜索.
- 包括英语文章,没有日期限制;摘要由两位作者审查.
主要成果:
- 中线胎盘与宏观性/大于妊娠年龄 (LGA) 婴儿的可能性增加以及非脑部表现的可能性降低,胎儿生长限制/小于妊娠年龄 (SGA) 婴儿以及保留胎盘相关.
- 低躺的胎盘与非选择性剖腹产和产后出血的更高发病率有关.
- 在胎盘位置和特定的产内,产后和新生儿并发症之间发现了显著的关联.
结论:
- 胎盘植入部位与产后 (产后出血,保留胎盘) 和新生儿 (FGR/SGA,Macrosomia/LGA) 并发症显著相关.
- 在胎盘位置和Apgar分数<7在5分钟,NICU入院,子宫内胎儿死亡 (IUFD) 或新生儿死亡之间没有观察到显著的关联.
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