产前风险分层及其对分娩干预和结果的影响:回顾性队列研究
T Kuku-Kuye1,2, A M Olumodeji1,2, O C Oyebode1
1Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Lagos, Nigeria.
West African journal of medicine
|October 6, 2025
概括
早期识别高风险怀孕对于改善母亲和新生儿健康至关重要. 这项在尼日利亚的研究发现,高风险怀孕导致更多的干预和并发症,强调需要强大的产前护理.
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
- 在LMICs的公共卫生.
背景情况:
- 高风险怀孕对孕产妇死亡率有很大影响,特别是在低收入和中等收入国家.
- 早期识别怀孕风险因素对于改善母亲和新生儿的结果至关重要.
- 这项研究调查了产前风险分层对尼日利亚拉各斯劳动干预和产后结果的影响.
研究的目的:
- 检查产前风险分层对分娩干预和结果的影响.
- 确定与高风险怀孕分类相关的因素.
- 评估高风险妊娠对新生儿结局的影响.
主要方法:
- 拉各斯州立大学教学医院507名妇女的回顾性队列研究 (2019年5月-2022年4月).
- 根据产前临床概况 (社会人口学,产科,医学因素) 将其分类为低风险或高风险.
- 使用描述性统计,奇平方和后勤回归来分析分娩干预 (诱导,增强,分娩方式) 和新生儿结果 (APGAR,NICU入院).
主要成果:
- 高风险怀孕 (17.6%) 与母亲年龄较小,无孕期和更高的产前护理 (ANC) 使用率有关.
- 高风险女性的诱导率 (14.6%对1.2%),催产素增强率 (27%对5.3%) 和紧急剖腹产率 (39.3%对23.4%) 显着更高.
- 来自高风险怀孕的新生儿的APGAR分数较低,NICU入院率明显较高 (25.8%与3.8%,p < 0.001).
结论:
- 高风险妊娠与增加的孕产妇和新生儿并发症密切相关.
- 早期风险分层和遵守世界卫生组织 (WHO) 对产前护理 (ANC) 的指南至关重要.
- 加强ANC服务和及时干预对于改善LMICs的结果至关重要.
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