在双胞胎怀孕中,与产妇宫内剖腹产相关的因素和围产结果
Dongxin Lin1, Xuqiong Huang, Dazhi Fan
1Foshan Institute of Fetal Medicine and the Department of Obstetrics, Foshan Women and Children Hospital Affiliated to Guangdong Medical University, Foshan, and the Medical Administration Division, People's Hospital of Huadu District, Guangzhou, Guangdong, China.
Obstetrics and gynecology
|May 15, 2025
概括
在双胞胎怀孕中,产后剖腹产发生在25%的病例中,高于之前报告的数量. 这种程序与不良围产期结果的增加有关,为分娩决策提供了信息.
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
- 围产期流行病学 围产期流行病学
背景情况:
- 在双胞胎怀孕中产卵剖腹产的发育率需要更新的评估.
- 了解影响产后剖腹产的因素对于优化双胞胎出生结果至关重要.
研究的目的:
- 评估与双胞胎怀孕中产后剖腹产相关的人口,怀孕和分娩特征.
- 为了评估双胞胎怀孕的围产期结果,经过宫内剖腹产的分娩与阴道分娩相比.
主要方法:
- 使用美国出生率数据 (2018-2023) 进行基于人口的回顾性队列研究.
- 包括双胞胎怀孕试图在怀孕35周后通过阴道分娩.
- 分析了与产后剖腹产相关的因素,并使用逻辑回归来比较围产期结果.
主要成果:
- 一个或两个双胞胎的产后剖腹产率为25.0%.
- 之前的剖腹产和无双性与产后剖腹产有很强的关联.
- 产后剖腹产与增加的母体输血,ICU入院和较低的Apgar分数相关.
结论:
- 在双胞胎怀孕中产科剖腹产比以前想象的更为常见,并且与不良围产结果有关.
- 识别与产后剖腹产相关的因素可以帮助临床决策,试图阴道分娩在双胞胎.
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