一家三级医疗中心的孕产妇心脏病和围产期结果。

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Huriye Ezveci, Şükran Doğru, Fatih Akkuş, Ülfet Sena Metin, Kazim Gezginc
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引用次数: 0

摘要

研究目的本研究旨在比较心脏病孕妇和健康对照组孕妇的围产期结局,以及先天性心脏病孕妇和后天性心脏病孕妇的孕产妇和新生儿结局:这项回顾性研究纳入了患有心脏病的孕妇和健康对照组孕妇。研究中所有患者的社会人口学数据均来自电子记录。对所有患者的围产期结果进行比较:研究共纳入了 258 名孕妇。结果:共有 258 名孕妇被纳入研究,其中 129 名孕妇被诊断患有心脏病,129 名患者为低风险孕妇。与健康孕妇相比,患有心脏病的孕妇子痫前期(P=0.004)和剖宫产率(P=0.01)更高。与健康孕妇相比,患有心脏病的孕妇出生体重较低(p=0.003),胎儿生长受限(FGR)率较高(p=0.036),出生百分位数较低(p=0.002),5 分钟 APGAR 较低(p=0.0001),新生儿重症监护室(NICU)入院率较高(p=0.001),新生儿重症监护室住院时间较长(p=0.001)。患有先天性心脏病的孕妇的平均胎龄高于患有后天性心脏病的孕妇(P=0.017):结论:与健康孕妇相比,所有产妇心脏病都与围产期不良结局相关。在这一系列研究中,患有先天性心脏病和后天性心脏病的孕妇围产期不良结局没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Maternal Cardiac Disease and Perinatal Outcomes in a Single Tertiary Care Center.

Objective: This study aims to compare the perinatal outcomes of pregnant women with heart disease and a healthy pregnant control group, as well as the maternal and newborn outcomes of pregnant women with congenital heart disease and acquired heart disease.

Material method: Pregnant women with heart disease and healthy control pregnant women were included in this retrospective study. Sociodemographic data of all patients included in the study were obtained from electronic records. Perinatal outcomes of all patients were compared.

Results: A total of 258 pregnant women were included in the study. While 129 pregnant women were diagnosed with heart disease, 129 patients were low-risk pregnant women. Preeclampsia (p=0.004) and cesarean section (p=0.01) rates were higher in pregnant women with heart disease compared to healthy pregnant women. Compared with healthy pregnant women, pregnant women with heart disease had a lower birth weight (p=0.003), a higher fetal growth restriction (FGR) rate (p=0.036), lower birth percentiles (p=0.002), a lower 5-minute APGAR (p=0.0001), a higher neonatal intensive care unit (NICU) admission rate (p=0.001), and a longer NICU stay rate (p=0.001). The mean gestational age at birth of pregnant women with congenital heart disease was higher than that of those with acquired heart disease (p=0.017).

Conclusion: It was observed that all maternal heart diseases were associated with adverse perinatal outcomes compared to healthy pregnant women. In this series, perinatal adverse outcomes of pregnant women with congenital and acquired heart disease did not differ.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
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