在母亲的要求下进行剖腹产分娩和罗布森分类.
Cristine Moreira Silva Benetti1, Célia José Laice Sitoe Muhandule1, Laura Bianchini Fogulin1
1School of Medical Sciences, University of Campinas (Unicamp), Campinas, São Paulo, Brazil.
概括
在母亲的要求下剖腹产 (CDMR) 占所有分娩的5.4%,主要在罗布森分类组5.1.1. 大多数CDMR患者患有高血压和糖尿病等并发症,突出显示了当前分类系统的局限性.
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:
- 在母亲的要求下剖腹产 (CDMR) 是一个复杂的问题,在全球范围内有不同的定义.
- 了解CDMR的患病率和特征对于孕产妇保健至关重要.
- 罗布森分类 (RC) 是一种用于分析剖腹产模式的工具.
研究的目的:
- 描述母亲要求的剖腹产分娩 (CDMR) 的类型.
- 根据罗布森分类 (RC) 分析CDMR的分布.
- 评估在接受CDMR的女性中共患病的流行率.
主要方法:
- 通过使用来自巴西高风险分娩医院的电子分娩记录 (2017年10月至2021年10月) 进行了一项横截面研究.
- CDMR病例被分为选择性 (CDMRele),诱导性戒断 (CDMRiw) 和劳动戒断 (CDMRlw).
- 数据分析了RC组内的分布和相关的并发症.
主要成果:
- 剖腹产占7779例总分娩中的53.1%.
- CDMR占所有分娩的5.4% (420例),选择性CDMR是最常见的类型 (58.6%).
- 在RC组5.1 (57.1%) 中主要观察到CDMR,72.1%的CDMR患者患有并发症,主要是高血压和糖尿病.
结论:
- 围绕CDMR的定义和情况缺乏国际共识.
- 罗布森分类在充分捕捉CDMR现象方面存在局限性,特别是在患有并发病率高的人群中.
- 巴西法律允许CDMR在国际文献中以前没有确立的情况.
相关概念视频
Force Classification
2.4K
Forces play a crucial role in the study of physics and engineering. They are essential in describing the motion, behavior, and equilibrium of objects in the physical world. Forces can be classified based on their origin, type, and direction of action.
Contact and non-contact forces are two of the most widely used categories of forces. As the name suggests, contact forces require physical contact between two objects to act upon each other. Examples of contact forces include frictional,...
Contact and non-contact forces are two of the most widely used categories of forces. As the name suggests, contact forces require physical contact between two objects to act upon each other. Examples of contact forces include frictional,...
2.4K
Classification of Neurotransmitters
5.3K
Neurotransmitters play a crucial role in the communication between neurons in the autonomic nervous system. Neurons in the autonomic nervous system can be cholinergic or adrenergic depending on the neurotransmitters synthesized. Cholinergic neurons use acetylcholine as their primary neurotransmitter. This includes all the preganglionic fibers of the sympathetic and pre- and postganglionic fibers of the parasympathetic nervous systems. In addition, neurons of the somatic nervous system also use...
5.3K
Classification of Leukocytes
5.8K
Leukocytes are classified into two groups based on the presence or absence of cytoplasmic granules. Granular leukocytes, which contain granules, belong to the myeloid lineage and are divided into three subtypes: neutrophils, eosinophils, and basophils. These cells are roughly spherical and characterized by the granules in their cytoplasm.
Neutrophils are the most abundant type of granular leukocytes, comprising 50-70% of all leukocytes. They feature small, evenly distributed granules and a...
Neutrophils are the most abundant type of granular leukocytes, comprising 50-70% of all leukocytes. They feature small, evenly distributed granules and a...
5.8K
Classification of Illness
8.7K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.7K
Classification of Bones
9.9K
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
9.9K
Seizures: Classification
1.6K
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
1.6K


