在多胎妊娠中预防早产:关于宫骨的有效性的一项回顾性研究
L Melia1, R Sulukhia2, N Jojua3
11Department of Obstetrics and Gynecology of European University, Tbilisi; 2Department of Obstetrics and Gynecology, Gudushauri National Medical Centre, Tbilisi, Georgia.
Georgian medical news
|March 30, 2025
概括
在多胎妊娠中使用佩萨里可能会延长孕期,但不会防止早产. 这种支持性疗法在各组预防过早分娩方面没有显著差异.
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
- 生殖医学 生殖医学
背景情况:
- 多胎妊娠有高风险的早产 (PB).
- 盆用于支子宫,并可能预防PB.
- 在多胎妊娠中使用囊的有效性仍在研究中.
研究的目的:
- 评估囊在预防多胎妊娠妇女早产 (PB) 时的有效性.
- 为了比较多胎妊娠中的PB比率,包括和没有腹干预.
主要方法:
- 对226名多胎妊娠和受到威胁的PB (2020-2024) 的女性进行了回顾性队列研究.
- 三组:自然怀孕用阴囊 (I组),ART怀孕用阴囊 (II组) 和没有阴囊 (III组).
- 在怀孕14-24周之间插入皮囊;统计学意义设置为P<0.05.
主要成果:
- 在I组 (自然怀孕与囊) 中观察到高迟早分娩率 (51.47%).
- 预产率的类似趋势在使用和不使用阴囊的患者中也被发现 (P<0.001).
- 在将两组进行比较时,没有发现过早分娩率的统计学上显著差异 (P>0.05).
结论:
- 在多胎妊娠中使用佩萨里应该考虑支持性治疗,可能会延长妊娠期.
- 在这个队列中,小腹干预没有显示出对早产的统计学上显著的预防作用.
- 需要进一步的研究来澄清鱼在管理高风险多胎妊娠中的作用.
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