不同类型的早产风险因素和出生时间的变化:历史的队列研究
Vanessa El-Achi1,2, James Elhindi1, Sarah Melov1,2
1Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Australia.
Acta obstetricia et gynecologica Scandinavica
|August 22, 2025
概括
阴性早产很常见,尤其是晚期早产. 医院对早产的处理方式各不相同,
科学领域:
- 产科和妇科
- 生产周边流行病学
- 产妇和胎儿医学
背景情况:
- 过早分娩对新生儿构成重大风险.
- 了解不同类型早产的风险因素和时间对于改善结果至关重要.
- 产前膜破裂是导致早产的不同途径.
研究的目的:
- 调查产前膜破裂的风险因素和出生时间.
- 分析新南威尔士州卫生服务中早产管理的差异.
- 确定母亲特征与不同类型的早产之间的关联.
主要方法:
- 使用电子健康记录的历史队列研究 (2018-2023年).
- 包括113,244个单独怀孕.
- 多变量逻辑和考克斯回归模型分析早产类型的发病率和发生时间.
主要成果:
- 7.0%的怀孕导致过早分娩 (7940例).
- 最常见的是阴性早产 (49. 2%),其次是自发性 (36. 9%) 和早产前膜破裂 (13. 9%).
- 以前的早产和产前护理模式与所有早产类型有关;医院容量影响了特定类型的出生时间.
结论:
- 产卵性早产的高发病率,特别是在晚期的早产期 (32-36周).
- 产前膜破裂和阳性产前分娩的分娩时间在容量较大的产科医院存在显著差异.
- 差异表明临床管理或未测量的混因素的潜在差异.
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