超声波预测子周期不良结果的预测因高血糖症而复杂的怀孕
Aayushi Saini1, Seema Mehrotra1, Vandana Solanki1
1Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, India.
Journal of obstetrics and gynaecology of India
|May 20, 2025
概括
在患有高血糖症的孕妇中,第三季度超声波可以预测新生儿不良后果. 估计胎儿体重和脑胎盘比率等参数是更好的规划和降低风险的关键指标.
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
- 诊断成像 诊断成像 诊断成像
背景情况:
- 妊娠期高血糖症,包括先前存在的糖尿病和妊娠期糖尿病 (GDM),对母亲和胎儿都有风险.
- 第三个三个月的超声波在高风险怀孕中监测胎儿健康方面发挥着至关重要的作用.
研究的目的:
- 评估第三季度超声波参数与高血糖症复杂的怀孕中新生儿不良结果之间的关联.
- 确定特定的超声波标记物,可以预测该人群中复合不良结果.
主要方法:
- 一项前性观察性研究包括166名患有高血糖症的妇女 (39名先前存在,127名GDM).
- 评估了第三个三个月的超声波参数 (估计的胎儿体重百分点,腹周百分点,大脑胎盘比率,胎液指数).
- 不良结局包括C-section对胎儿的痛苦,带动脉的低pH值,低的5分钟Apgar分数,新生儿单位入院,新生儿低血糖症和围产死亡.
主要成果:
- 在166个怀孕中,66个怀孕经历了复合的新生儿不良后果.
- 估计胎儿体重较高 (>第90个百分位数) 与不良结果的概率高3.52倍相关.
- 乱的胎液指数 (p < 0.018) 和多水 (OR 3.13) 显示出与不良结果的显著关联.
- 大脑胎盘缺陷 (CPR < 1) 与4.2倍更高的不良结果概率有关.
结论:
- 第三个三个月的超声波参数对于预测高血糖妊娠的不良结果是有价值的,独立于母亲的因素.
- 估计胎儿体重<10个百分点和CPR<1的组合显示,对复合不良结果的预测值最高 (OR 14.61).
- 超声波参数是预先计划分娩的有希望的工具,用于在三级保健中心减轻围产期发病率和死亡率.
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