孕期和新生儿后果中的孕激素:随机对照试验的系统审查和元分析
Matheus Fernandes Dias1, Manuel Do O De Souto Neto1, Heitor Alves Duarte1
1Multicampi School of Medical Sciences of Rio Grande Do Norte, Federal University of Rio Grande Do Norte, Caicó, Brazil.
概括
孕激素治疗显著降低了新生儿不良后果的风险,包括呼吸困扰综合征和败血症. 这一发现支持其用于延长怀孕和改善婴儿健康.
科学领域:
- 产周医学 产周医学
- 新生儿健康新生儿健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 过早出生的新生儿面临着显著的发病率.
- 孕激素治疗是延长怀孕的有希望的干预措施.
- 了解孕激素的益处和风险有助于制定有针对性的策略,以获得更好的围产期结果.
研究的目的:
- 评估新生儿孕激素治疗的安全性和有效性.
- 评估孕激素对延长妊娠和新生儿后果的影响.
主要方法:
- 随机临床试验的系统审查和元分析.
- 在Cochrane Central,Embase和PubMed搜索了关于"妊娠延长"和"阴道孕"或"17-α-hydroxyprogesteron"的研究.
- 包括12项试验,共有1557名参与者,比较孕激素与安慰剂或没有干预.
主要成果:
- 接受孕激素治疗的新生儿显示呼吸困扰综合征的风险降低 (RR 0.61).
- 孕激素治疗与败血症 (RR 0.51),肺炎 (RR 0.29) 和视网膜病变 (RR 0.38) 的风险较低有关.
- 观察到需要通风辅助器的需求显著减少 (RR 0.65).
结论:
- 孕激素治疗在减少新生儿不良后果方面显示出显著的益处.
- 这些发现支持使用孕激素来改善婴儿健康和福祉.
更多相关视频
19:15Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
86.4K
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
3.2K
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
176
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
176
Regression Toward the Mean
6.5K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.5K
Teratogenicity
2.8K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.8K
Gonadal and Placental Hormones
1.8K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.8K
