羊水指数异常和正常妊娠的胎儿健康评估试验结果：一项病例对照研究

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100874

Somayyeh Naghizadeh , Zahra pourmohammad , Farnaz Faroughi , Mojgan Mirghafourvand

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引用次数: 0

摘要

背景：目前没有足够的证据支持在羊水指数（AFI）处于临界状态的情况下进行常规胎儿监测或早期分娩决策。目的比较临界和正常AFI孕妇的胎儿健康评估结果。方法对伊朗大不里士-巴赫曼29医院的300例孕妇进行病例对照研究，其中AFI正常150例，AFI边缘性150例。由于边缘性AFI的母亲人数较少，我们对所有边缘性AFI的孕妇进行普查抽样。对于对照组，根据年龄、胎次和胎龄匹配抽样选择AFI正常的母亲作为边缘组。数据是通过研究者制作的四部分问卷收集的。结果两组产妇对胎动感知的减少差异有统计学意义（p = 0.0001）， AFI正常组35例（23.3%），AFI边缘组46例（30.7%）。各组在非应激测试（NST）（p = 0.324）和生物物理剖面（BPP）（p = 0.442）结果上无显著差异。在有边缘性AFI的妇女中，母亲感觉胎动减少的可能性是AFI正常妇女的7倍(OR = 7.43；95% CI: 4.4 ~ 12.4；p = 0.0001)。结论临界AFI妇女的胎儿健康评估结果与正常AFI妇女相似。因此，交界性AFI病例的临床处理方法与正常AFI病例相似。

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Results of fetal health assessment tests in pregnancies with borderline and normal amniotic fluid index: A case-control study

Background

There is currently insufficient evidence to support routine fetal surveillance or early delivery decisions in cases of borderline Amniotic Fluid Index (AFI).

Objective

This study aimed to compare the results of fetal health assessment tests in pregnancies with borderline and normal AFI.

Methods

This case-control study was conducted on 300 pregnant women (150 with normal AFI and 150 with borderline AFI) at the 29 Bahman Hospital in Tabriz-Iran. Due to the small number of mothers with borderline AFI, all pregnant mothers with borderline AFI were recruited (census sampling). For the control group, mothers with normal AFI were selected using matched sampling based on age, parity, and gestational age to correspond to the borderline group. The data were collected using a four-part researcher-made questionnaire.

Results

A significant difference was observed in the reduction of maternal perception of fetal movements between the two groups (p = 0.0001), with 35 (23.3 %) women in the normal AFI group and 46 (30.7 %) women in the borderline AFI group reporting reduced movements. The groups had no significant differences regarding Non-Stress Test (NST) (p = 0.324) and Biophysical Profile (BPP) (p = 0.442) results. In women with borderline AFI, maternal perception of decreased fetal movement was 7 times more likely than in women with a normal AFI (OR = 7.43; 95 %CI: 4.4 to 12.4; p = 0.0001).

Conclusion

The results of fetal health assessment tests in women with borderline AFI were similar to those with normal AFI. Therefore, clinical management of borderline AFI cases may be approached similarly to those with normal AFI.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.