低危延期妊娠妇女不同处理方式对妊娠结局的影响

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摘要目的评估低危延期妊娠妇女采取不同分娩处理方式,其妊娠结局情况。方法回顾性分析2017年1月至2018年4月在本院延期分娩的低危单胎妊娠产妇1 371例,分为诱导分娩组、选择性剖宫产组和期待妊娠组,比较三组不同分娩处理方式对妊娠结局的影响。结果延期妊娠发生率是7.61%。与诱导分娩组相比,期待妊娠组的剖宫产风险明显降低(aOR=0.81;95%CI:0.67~0.93);与诱导分娩组相比,选择剖宫产组的产后出血风险明显增加(aOR=4.62;95%CI:1.16~18.41),以及新生儿黄疸发生风险增加(aOR=2.73;95%CI:1.41~5.29)。结论与诱导分娩组相比,选择性剖宫产组的产后出血和新生儿黄疸的发生风险增加,期待妊娠组的剖宫产率有所降低。选择性剖宫产不应作为延期妊娠妇女的推荐方式。由于目前证据有限,在诱导分娩和期待妊娠的选择方面,仍应审慎思考。

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	卜令真
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关键词 ：延期妊娠, 诱导分娩, 选择性剖宫产, 期待妊娠, 妊娠结局

收稿日期: 2018-09-11

通讯作者: 范冬梅(wdmzjblz@163.com)

引用本文:

卜令真, 庄玉玉, 潘晓华, 范冬梅. 低危延期妊娠妇女不同处理方式对妊娠结局的影响[J]. 中国生育健康杂志, 2020, 31(1): 55-59.

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http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2020/V31/I1/55

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