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多胎妊娠的结果和风险的比较:辅助与自发受孕

Rwan K Alarfaj^1,2, Aseel Alwahhabi^1,2, Renad Alshalan^1,2

¹College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

International journal of women's health

|November 14, 2025

概括

在沙特阿拉伯使用辅助生殖技术 (ART) 与双胞胎和三胞胎怀孕的风险更高,包括早产和并发症. 针对性产科护理对于ART构想的多胎妊娠至关重要,以改善母亲和新生儿的结果.

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
生殖医学生殖医学

背景情况:

包括双胞胎和三胞胎在内的多胎妊娠在全球范围内不断增加,通常是由于辅助生殖技术 (ART).
与单子妊娠相比,这些怀孕对母亲和新生儿都有显著更高的风险.
有限的区域数据存在,特别是来自沙特阿拉伯的数据,需要进行本地化研究.

研究的目的:

评估和比较沙特阿拉伯双胞胎和三胞胎怀孕的孕产妇和新生儿结果.
为了区分自发怀孕和通过ART怀孕之间的结果.

主要方法:

在2022年1月至2023年12月期间,在利雅得的妇女健康医院进行了回顾性图表审查.
数据包括母亲的特征 (年龄,BMI,妊娠年龄,并发症) 和新生儿的结果 (出生体重,Apgar分数,入院).
分析的重点是双胞胎和三胞胎怀孕,比较自发受孕与那些来自ART.

主要成果:

分析了233例怀孕 (222例双胞胎,11例三胞胎),双胞胎的平均妊娠年龄为37.1周,三胞胎的平均妊娠年龄为33.5周.
过早分娩 (70.4%) 和孕期糖尿病 (22.3%) 是常见的并发症;92.7%的分娩是过早的 (>32周).
三胎妊娠显示出更高的ART患病率 (30.5%),更早的早产,表现不良,主要是剖腹产 (88.8%);新生儿入院主要是因为早产和呼吸困扰.

结论:

多胎妊娠,特别是通过ART怀孕的孕妇,对母亲和新生儿有很大的风险,包括早产和表现不佳.
通过人工智能孕育的三胎妊娠特别脆弱,需要专门的产科护理.
研究结果强调,需要加强沙特阿拉伯的管理策略和进一步研究,以改善与ART相关的多胎妊娠的结果.

关键词:

沙特阿拉伯沙特阿拉伯沙特阿拉伯辅助生殖技术是一种辅助生殖技术.母亲的结果.多重怀孕是一个多重怀孕.新生儿的结果.这是自发的怀孕.

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