在22至25周的双胞胎怀孕中,产前皮质类固醇的使用:一项全国性的研究
Hiba J Mustafa1, Faezeh Aghajani2, Erez Lenchner3
1The Fetal Center at Riley Children's and Indiana University Health, Division of Maternal-Fetal Medicine, Indiana University School of Medicine, Indianapolis, IN.
American journal of obstetrics and gynecology
|November 17, 2025
概括
产前皮质类固醇的使用显著改善了存活率,并减少了22-26周怀孕之间产生的双胞胎怀孕的不良结果. 这一好处甚至在积极的产后干预中也显而易见,这突显了它对可生存的新生儿的重要性.
科学领域:
- 周围生理学 周围生理学
- 新生儿科学 新生儿科学
- 产科 产科 产科 产科 产科
背景情况:
- 双胞胎怀孕面临着早产风险的增加,特别是在可存活的妊娠年龄.
- 有限的证据表明,产前皮质类固醇对双胞胎的益处接近生命力.
研究的目的:
- 评估双胞胎怀孕中产前皮质类固醇使用的趋势.
- 在22-26周之间出生的暴露和未暴露的双胞胎之间比较新生儿结局.
主要方法:
- 美国出生率数据 (2016-2022) 的横截面研究.
- 包括22-26周怀孕的双胞胎怀孕.
- 分析了新生儿存活率,Apgar分数,通风和复合不良结果.
主要成果:
- 从2016年到2022年,产前皮质类固醇的使用显著增加,特别是在22周.
- 与22-23周的更高的生存率 (aOR 3.66) 和较低的不良结果相关.
- 在接受活跃产后护理的新生儿中,生存益处持续存在.
结论:
- 产前皮质类固醇可以提高存活率,并减少可存活双胞胎怀孕的不良结果.
- 即使在提供密集的新生儿护理时,也观察到好处.
- 调查结果侧重于短期结果,需要在数据限制范围内进行解释.
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