马达加斯加befelatanana产妇中心40岁及以上妇女的怀孕和分娩

Archives of pathology Pub Date : 2019-12-24 DOI:10.29328/journal.apcr.1001015

Rakotomalala Nivoarimelina Zoly, Rakotozanany Besaina, Razafindraibe Andriatompoina Felanarivo, Ramarokoto Malalafinaritra Patrick Marco, Rafamatanantsoa Jean Florent, Kapche Wato Edith, Randriambololona Domoina Malala Aurelia

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引用次数: 0

摘要

结果:40岁及以上产妇分娩率为0.61%。88%的病例为多胎和大胎。分析显示，40岁及以上产妇剖宫产风险显著，为急诊剖宫产风险的3倍。急诊剖宫产率随胎次增加而增加(RR = 3.04 [2.15-4.30]， p = 10-10)。新生儿中营养不良占23.42%，早产占22.86%，出生时窒息占12%，新生儿复苏占13.14%，宫内死亡占5.71%，与未暴露组差异无统计学意义。40岁及以上妇女围产期死亡率为7.43%，20 ~ 35岁妇女为4% (RR = 1.85 [0,89-3,86];P = 0.052)。

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Pregnancy and childbirth in women aged 40 and over at befelatanana maternity, Madagascar

Results: The prevalence of childbirth among 40 years old and over was 0.61%. They were multiparous and large multiparous in 88% of the cases. The analysis showed that parturients aged 40 years and older were at signifi cant risk for caesarean section, with three times the risk of emergency caesarean section. The frequency of this emergency caesarean section increased with parity (RR = 3.04 [2.15-4.30], p = 10-10). Among their neonates, 23.42% were hypotrophic, 22.86% premature, 12% asphyxiated at birth, 13.14% admitted to neonatal resuscitation and 5.71% died in utero, but without signifi cant difference with the group unexposed. Perinatal death was 7.43% in women aged 40 and over vs 4% in 20 to 35 year olds (RR = 1.85 [0,89-3,86]; p = 0.052).

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Archives of pathology

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