预期的分娩方式与22-25周妊娠期新生儿和母亲的结果的关联
Jameaka L Hamilton1, Paula L McGee1, Baha M Sibai1
1Department of Obstetrics and Gynecology at The Ohio State University, Columbus, Ohio; The George Washington University Biostatistics Center, Washington, DC; University of Texas Health Science Center at Houston, Children's Memorial Hermann Hospital, Houston, Texas; University of Utah Health Sciences Center, Salt Lake City, Utah; Alabama at Birmingham, Birmingham, Alabama; Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; University of Iowa, Iowa City, Iowa; Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia; University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Columbia University, New York, New York; Department of Obstetrics and Gynecology at The Ohio State University, Columbus, Ohio; Northwestern University, Chicago, Illinois; Brown University, Providence, Rhode Island; University of Pittsburgh, Pittsburgh, Pennsylvania; Case Western Reserve University, Cleveland, Ohio; University of Pennsylvania, Philadelphia, Pennsylvania; and University of Texas Medical Branch, Galveston, Texas.
计划式剖腹产没有影响极度早产婴儿 (怀孕22-25周) 的新生儿结果. 然而,计划性剖腹产与增加的孕产妇发病率有关,包括败血症和再入院.
科学领域:
- 周围生理学 周围生理学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 新生儿科学 新生儿科学
背景情况:
- 对于极度早产婴儿 (妊娠22-25周) 的分娩方式决定可能会影响新生儿和母亲的结果.
- 了解与预定剖腹产与分娩试验相关的风险对于临床指导至关重要.
研究的目的:
- 根据预期的分娩方式,在怀孕22到25周之间出生的婴儿中比较新生儿和母亲的发病率和死亡率风险.
主要方法:
- 对22 0/7至25 6/7周怀孕期间分娩的单子妊娠的观察队列的二次分析.
- 包括接受产前类固醇和新生儿复苏的参与者.
- 使用多变量后勤回归来比较计划剖腹产和分娩组试验之间的结果.
主要成果:
- 计划式剖腹产和分娩组试验之间的新生儿死亡或重症新生儿发病综合结果没有显著差异 (73.8%vs79.7%).
- 计划性剖腹产与更高的孕产妇败血症 (6.0%对1.6%) 和产后再入院 (8.1%对0.8%) 相关.
- 在二次新生儿结局中没有观察到差异.
结论:
- 预期的分娩方式 (计划剖腹产与分娩试验) 没有影响复合新生儿死亡率或极度早产婴儿的严重发病率.
- 计划式剖腹产与增加的孕产妇发病率有关,包括败血症和再入院.
更多相关视频
09:49Assessment of Perigenital Sensitivity and Prostatic Mast Cell Activation in a Mouse Model of Neonatal Maternal Separation
Published on: August 13, 2015
04:59Author Spotlight: Developing a Disposable Dosator for Preclinical Testing of Dry Powder Inhalers in Small Animal Models
Published on: August 18, 2023
相关概念视频
07:13Induction of Maternal Immune Activation in Mice at Mid-gestation Stage with Viral Mimic Poly(I:C)
09:49Assessment of Perigenital Sensitivity and Prostatic Mast Cell Activation in a Mouse Model of Neonatal Maternal Separation
04:59Disposable Dosators Intended for Dry Powder Delivery to Mice
12:03Myocardial Infarction and Functional Outcome Assessment in Pigs
03:19Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
08:50A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
