妊娠合并羊水过少的胎儿结局——三级护理医院的经验

None Zubaida Akhtar, Fauzia Afridi, None Saima Gilani
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引用次数: 0

摘要

目的:探讨羊水过少与分娩方式、新生儿体重、1分钟和5分钟APGAR评分、新生儿入住情况等因素与胎儿结局的关系。材料,方法:该前瞻性队列研究于2017年6月1日至2018年5月31日在白沙瓦开伯尔教学医院妇产科进行。采用有目的的非概率抽样技术,纳入了妊娠期约37周或以上的单胎妊娠和头位表现的患者。A组(暴露)患者100例,其AFI为<在没有其他相关危险因素的情况下,将5例与100组匹配的AFI 5 - 18的B组(非暴露)受试者进行比较。孕龄为37周的孕妇、胎儿先天性异常以及伴有妊高征和先兆子痫等合并症的孕妇均被排除在研究之外。结果:结果比较显示,A组引产率、剖宫产率均高于b组,但两组新生儿体重、1、5分钟APGAR评分、新生儿住院率差异无统计学意义。结论:羊水过少与引产率和剖宫产率增高有关,但对新生儿体重、1、5分钟APGAR评分及新生儿入住新生儿科均无影响。关键词:羊水过少,羊水,剖宫产,引产,APGAR评分,围产期结局
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FETAL OUTCOMES IN PREGNANCIES COMPLICATED BY OLIGOHYDRAMNIOS- EXPERIENCE AT A TERTIARY CARE HOSPITAL
OBJECTIVE: To find out the association between oligohydramnios and fetal outcome in terms of mode of delivery, the weight of the newborn baby, APGAR score at 1 and 5 minutes, and admission to the neonatology unit. MATERIALS & METHODS: This prospective cohort study was conducted in Obstetrics and Gynaecology Department, Khyber Teaching Hospital, Peshawar from 1st June 2017 to 31st May 2018. Patients with singleton pregnancy and cephalic presentation with a period of gestation of about 37 weeks or above were included using a purposive non-probability sampling technique. A sample of 100 patients in Group A (exposed) whose AFI was < 5 in the absence of other associated risk factors were compared to 100 matched groups of subjects in Group B (non-exposed) with AFI 5—18. Pregnant women with gestational age <37 weeks, fetal congenital abnormalities, and pregnancies with co-morbidities like PIH, and pre-eclampsia were excluded from the study. RESULTS: The result comparison shows that Group A has a higher rate of labor induction and cesarean section than Group B. However, there was no statistically significant difference in the weight of the newborn, APGAR score at 1 and 5 minutes, and admission to the neonatology unit in both groups. CONCLUSION: Oligohydramnios is associated with a higher rate of induction of labor and cesarean section, but it does not affect the weight of newborn babies, APGAR score at 1 and 5 minutes, and admission of the newborn to the neonatology unit. Key Words: Oligohydramnios, Amniotic fluid, Cesarean section, Induction of labor, APGAR score, Perinatal outcome.
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