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预测紧急剖腹产的预测因素大多发性女性与原发性和多发性女性相比

Roza Berkovitz Shperling^1,2, Liat Lerner-Geva^3,4, Gal Ariel^1,2

¹Department of Obstetrics and Gynecology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|February 13, 2026

概括

与其他平价群体相比,大多夫妇女性的紧急剖腹产 (CS) 风险较低. 紧急CS的关键预测因素包括辅助生殖技术,长时间的膜破裂,吸烟和糖尿病.

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
生殖健康生殖健康

背景情况:

同等性显著影响怀孕结果和分娩方式.
大多产妇 (GMP) 妇女,定义为≥5次分娩的妇女,代表了一个独特的产科群体.
了解GMP妇女的紧急剖腹产 (CS) 风险因素对于优化孕产妇和新生儿护理至关重要.

研究的目的:

为了确定大多发性 (GMP) 妇女紧急CS的预测因素.
为了比较GMP,多发性 (MP) 和初发性 (PP) 妇女之间的紧急CS率和相关因素.
为了阐明在GMP怀孕中紧急CS的主要指示.

主要方法:

在2011年至2018年期间,对74,848名单身活产儿进行了回顾性队列研究.
妇女分为原发性 (PP),多发性 (MP,2-4个分娩) 和大多发性 (GMP,≥5个分娩) 组.
多变量逻辑回归分析了与紧急CS相关的因素,按妊娠年龄分层.

主要成果:

紧急CS率在PP中最高 (13.2%),其次是MP (9.4%),在GMP中最低 (6.5%).
紧急CS的独立预测因素包括辅助生殖技术 (aOR=2.09),延长膜破裂延迟 (aOR=2.08),吸烟 (aOR=1.49) 和糖尿病 (aOR=1.46).
不令人放心的胎儿心率是GMP女性 (71.1%) 紧急CS的主要指示.

结论:

与原发性和多发性女性相比,大多发性女性的紧急CS风险较低.
辅助生殖技术,长时间的膜破裂延迟,吸烟和糖尿病是紧急CS的重要独立预测因素.
不令人放心的胎儿心率仍然是大多胎妊娠中紧急CS的主要指示.

关键词:

剖腹产是一个剖腹产.紧急剖腹产切割是什么意思这是一个大 multipara.曾祖祖母的多倍数.交付方式的交付方式.

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