2017年至2020年万隆Hasan Sadikin医生综合医院孕妇死产风险因素

D. Immanuel, H. Susiarno, W. Nurdiawan
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引用次数: 0

摘要

背景:死产是最具破坏性的妊娠结局之一,影响着全球约260万名孕妇。一些因素已被确定与死胎有关,并根据病理生理方面进行分组,如母体、胎盘、胎儿和未知或无法解释的因素。本研究旨在描述万隆Hasan Sadikin综合医院单胎妊娠死胎的患病率、基线和危险因素特征。方法:采用描述性横断面研究设计,包括从万隆Hasan Sadikin综合医院妇产科获得的2017年至2020年的所有死产医疗记录。收集了具有完整基线数据的医疗记录、妊娠中晚期妊娠和单胎妊娠。结果:本研究中死胎病例的发生率为2.2%。大多数病例发生在20-30岁(64.4%),胎龄>28周(65.8%)。在观察到的所有危险因素中,高血压疾病是最常见的疾病(45.6%),其次是未知因素(17.8%),和先天性异常(14.2%)。结论:大多数死产患者处于最佳生育年龄,未产,并在妊娠期间患有高血压疾病,特别是叠加先兆子痫亚型。尽管患病率相当低,但早期管理风险因素,特别是高血压疾病,对预防其发生很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factor of Stillbirth among Pregnant Women at Dr. Hasan Sadikin General Hospital Bandung from 2017–2020
Background: Stillbirth is one of the most devastating pregnancy outcomes that affects approximately 2.6 million pregnancies worldwide. Several factors have been identified to be associated with stillbirth, and grouped based on the pathophysiological aspects, such as maternal, placental, fetal, and unknown or unexplained factors. This study aimed to describe the prevalence, along with the baseline and risk factor characteristics of stillbirth among singleton pregnancies at Dr. Hasan Sadikin General Hospital Bandung. Methods: A descriptive, cross-sectional study design was conducted, including all stillbirth medical records from 2017 to 2020 obtained from the Department of Obstetrics and Gynecology, Dr. Hasan Sadikin General Hospital Bandung. Medical records with complete baseline data, 2nd–3rd trimester pregnancies, and singleton pregnancies were collected.Results: The prevalence of stillbirth cases in this study was 2.2%. Most of the cases occurred in the age range of 20–35 years old (64.4%) with the gestational age of >28 weeks (65.8%). Of all risk factors observed, hypertensive disorders were the most common medical conditions found (45.6%), followed by unknown factors (17.8%), and congenital abnormalities (14.2%).Conclusions: The majority of stillbirth patients are at their optimal reproductive age, nulliparity, and have hypertensive disorders during pregnancy, specifically the superimposed preeclampsia subtype. Although the prevalence is considerably low, early management of the risk factors, particularly hypertensive disorder, is important to prevent its occurrence.
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