Premature Delivery Under 32 Weeks of Gestation – Case Control Retrospective Study

R. Chicea, Ioana-Codruța Lebădă, M. Ognean
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Abstract

Abstract Prematurity is a major health problem and it is an important life-threatening pathology for the children in their perinatal, new-born and infantile period. We have evaluated the epidemiologic factors for prematurity in Obstetrics Clinic of Sibiu city. We have analysed the epidemiology of 649 preterm babies between 2012 and 2019 in a III grade Maternity Clinic concerning general maternal information, pregnancy pathology and delivery. We have found significant differences between single and multiple pregnancies and between natural conceived pregnancies and assisted reproductive techniques conceived pregnancies concerning the maternal age, number of cortisone doses, modality of delivery and significant differences between normal conceived and assisted reproductive technique conceived new born related to maternal age and pregnancy and labor fetal presentations dystocia. As a conclusion, prematurity is induced by high blood pressure, pregnancy bleeding and infectious complications. Prophylactic cortisone is improving fetal outcome and is a routine practice in our clinic.
妊娠32周以下早产的病例对照回顾性研究
摘要早产是儿童围产期、新生儿期和婴儿期的重大健康问题,是危及儿童生命的重要病理。我们对锡比乌市产科门诊早产的流行病学因素进行了评价。对某三级妇产门诊2012 - 2019年649例早产儿的孕产妇一般信息、妊娠病理及分娩情况进行流行病学分析。我们发现单胎和多胎妊娠、自然妊娠和辅助生殖技术妊娠在产妇年龄、可的松剂量、分娩方式等方面存在显著差异,正常妊娠和辅助生殖技术妊娠新生儿在产妇年龄、妊娠和分娩胎儿表现难产方面存在显著差异。综上所述,早产是由高血压、妊娠出血和感染性并发症引起的。预防性可的松可改善胎儿结局,是我们诊所的常规做法。
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