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妊娠前BMI升高与劳动诱导结果之间的关联:基于人口的回顾性队列研究
Kaija Käärid1, Erin Marshall1, Richard Honor2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL.
在怀孕前体重指数 (BMI) 升高显著增加了剖腹产 (CD) 的风险,为妇女进行分娩诱导. 更高的BMI类别与无计划和紧急CD率的剂量依赖性上升有关.
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
- 公共卫生 公共卫生
背景情况:
- 妊娠前体重指数 (BMI) 的升高是产科护理中日益关注的问题.
- 了解其对分娩诱导结果的影响对于临床实践至关重要.
研究的目的:
- 评估妊娠前BMI升高与分娩诱导结果之间的关联.
- 专门评估高BMI类别的风险.
主要方法:
- 基于人口的回顾性队列研究,使用新foundland和拉布拉多的围产期计划数据库 (2002-2023年).
- 主要结果:交付方式. 二次结果:复合的孕产妇/新生儿和严重程度加权的复合结果.
- 经母体和妊娠因素调整后的物流和波松回归;开发了风险计算器.
主要成果:
- 包括16,808个记录;剖腹产 (CD) 风险与BMI以剂量依赖的方式增加.
- 非计划和紧急CD风险从BMI20.0 kg/m2的22.5%和17.0%上升到BMI65.0 kg/m2的59.8%和49.5%,BMI为20.0 kg/m2.
- 自发性阴道分娩随着BMI的增加而减少;严重程度加权的复合结果在BMI 48.0 kg/m2的峰值.
结论:
- 妊娠前BMI升高显著增加了产后意外和紧急剖腹产的风险.
- 开发出来的风险计算器可以帮助患者评估和咨询有关诱导风险的建议.
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