以先天性子宫畸形为表现的孕妇的产科结局。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Pakistan Journal of Medical Sciences Pub Date : 2025-04-01 DOI:10.12669/pjms.41.4.10793

Shahida Sutan, Samina Alia Sabir, Nazia Liaqat, Qudsia Qazi

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引用次数: 0

摘要

目的：分析先天性子宫畸形孕妇的产科结局。方法：对2023年2月至2024年4月在白沙瓦雷丁夫人医院妇产科就诊的60例患者进行描述性研究。入选年龄在20 ~ 35岁，孕龄在30 ~ 42岁，单胎妊娠的孕妇。评估CUA的分类以及阴性产科结局。使用SPSS 20进行数据分析。结果：分离子宫13例（21.7%），单角子宫5例（8.3%），双角子宫32例（53.3%），双角子宫10例（16.7%）。剖宫产40例（66.7%）、早产21例（35%）、产型不良33例（55%）、SGA 36例（43.3%）、低出生体重18例（30%）为阴性产科结局。单角子宫和双角子宫的剖宫产率较高。单角子宫、双角子宫和隔角子宫的早产率较高。双角型子宫的胎儿畸形发生率高于其他类型子宫。子宫间隔患者的SGA较高，出生体重较低。结论：我们的调查证实了不利的产科结局通常与先天性子宫异常有关。

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Obstetrical outcome in pregnant women presenting with congenital uterine anomalies.

Objective: To analyze the obstetrical outcome in pregnant women who presented with congenital uterine anomalies.

Methods: Sixty patients participated in this descriptive study conducted at department of obstetrics and gynecology, Lady Reading Hospital, Peshawar from February 2023 to April 2024. Pregnant patients with CUA aged 20 to 35 years and gestational age 30 to 42 with singleton pregnancy were included. Classification of CUA was assessed along with negative obstetric outcomes. Data analysis was done using SPSS 20.

Results: Septate uterus was detected in 13 (21.7%), unicornuate 5 (8.3%), bicornuate 32 (53.3%), and didelphys 10 (16.7%). Cesarean section 40 (66.7%), preterm delivery 21 (35%), malpresentation 33 (55%), SGA 36 (43.3%), and low birth weight 18 (30%) were negative obstetric outcomes. Unicornuate uterus and bicornuate uterus had greater caesarean section rates. Patients with unicornuate uterus, didelphys and septate had more preterm deliveries. Fetus malpresentation was higher in bicornuate uterus than other CUAs. Septate uterine patients had higher SGA and low birth weight rates.

Conclusion: Our investigation confirms unfavorable obstetric outcomes are commonly linked to congenital uterine abnormalities.

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来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.