母亲风险因素与第一季度流产缺失的关联:一个跨部门研究
Haripriya S1, Pavithra M1, Meena T S1
1Obstetrics and Gynecology, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus
|February 3, 2026
概括
第一个三个月的流产错过,是导致早期怀孕流产的主要原因,与南印度的晚期孕产妇年龄,肥胖和妊娠期糖尿病有关. 早期查和怀孕前护理对于高危怀孕至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 第一个三个月的流产错过是全球和印度早期怀孕损失的重要原因.
- 母亲因素,如人口,代谢,产科和生活方式的影响,有助于遗漏的堕胎,区域差异.
- 局部化数据对于识别有风险的怀孕和实施及时干预至关重要.
研究的目的:
- 调查分布,并确定与第一季度流产遗漏相关的孕产妇风险因素.
- 为印度南部的第三级护理人口提供本地化证据.
主要方法:
- 这是一项基于医院的横截面研究,该研究于2025年5月至11月在印度南部的奈进行.
- 包括第一季度的孕妇,通过标准化超声波检查确认的流产错误.
- 收集关于社会人口,产科,医疗,人体,实验室,生活方式和心理社会因素的数据,然后进行单变量和多变量后勤回归分析.
主要成果:
- 先进的孕产妇年龄 (>35岁),肥胖 (BMI ≥30 kg/m2) 和妊娠期糖尿病 (GDM) 与第一个三个月的流产明显相关.
- 肥胖显示出强烈的关联 (AOR:3.67),以及GDM (AOR:3.89) 和晚年母亲年龄 (AOR:4.23).
- 诸如先前流产,血缘关系和高压力等因素在病例中更为频繁,但在多变量分析中没有达到统计学意义.
结论:
- 晚期孕产妇年龄,肥胖和早期妊娠期失糖症是研究南印度人口中第一个三个月错过堕胎的关键因素.
- 贫血,甲状腺功能障碍,先前的妊娠损失和短暂的妊娠间隔的患病率凸显了早期怀孕失败的多因素性质.
- 预孕评估,代谢优化和早期产前风险查是印度孕产妇健康计划的重要组成部分,特别是延迟生育和生活方式障碍的趋势.
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