延迟生育:在极晚的母亲年龄出生结果:一个回顾性队列研究
Alaattin Karabulut1, Sercan Kantarci1, Uğurcan Dağli1
1Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital, Bornova, Izmir, Turkey.
45岁及以上的女性 (非常晚的孕产妇年龄) 面临剖腹产,早产和NICU入院的风险更高. 延迟生育需要量身定制的产前护理,以改善怀孕和新生儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 生殖健康 生殖健康
背景情况:
- 延迟生育是全球日益增长的趋势.
- 高龄的母亲 (≥45岁) 在怀孕期间会面临独特的生理挑战.
- 了解与极度晚年母亲年龄 (EAMA) 相关的风险对于优化母婴护理至关重要.
研究的目的:
- 为了比较45岁以上的妇女 (EAMA组) 和25-35岁的对照组之间的怀孕和新生儿结局.
- 为了确定与EAMA相关的特定不良结果.
- 为老年母亲提供产前护理和分娩计划的临床实践提供信息.
主要方法:
- 追溯队列研究的设计.
- 包括143名年龄≥45岁的女性和250名年龄25-35岁的女性.
- 产科 (妊娠年龄,分娩方式,出生体重) 和新生儿 (Apgar分数,NICU入院) 结果的比较.
主要成果:
- EAMA组的剖腹产率 (71.3%对47.6%),早产率 (21.0%对9.2%) 和NICU入院率 (21.7%对12.8%) 显着更高.
- 在EAMA组中,中位出生体重明显较低 (3000g vs 3305g).
- 极度早产 (<28周) 仅在EAMA组中观察到.
结论:
- 年龄≥45岁的女性经历了显著增加的不良产科和新生儿并发症的风险.
- 这些发现强调了对EAMA怀孕的专业产前护理协议的必要性.
- 积极的分娩规划对于减轻老年母亲人口不断扩大的风险至关重要.
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