尼日利亚一家教学医院成功引产的决定因素:10年回顾

Q3 Medicine

Revista Brasileira de Saude Materno Infantil Pub Date : 2023-04-14 DOI:10.1590/1806-9304202300000228-en

T. Okunola, S. Bola-Oyebamiji, O. Sowemimo, K. Ajenifuja

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引用次数: 0

摘要

摘要目的:评价引产成功率及影响引产效果的因素。方法:对2006 ~ 2015年行引产术的产妇进行回顾性队列研究。从医疗记录中检索数据，并使用多元逻辑回归来评估成功引产的决定因素。结果:引产率为10.9%。在分析的940名妇女中，656名妇女(69.8%)阴道分娩成功。39 ~ 40周引产(OR=2.70;CI95%=1.17-6.36)， 41周(OR=2.44;CI95%=1.14-5.28)，估计胎儿体重在2.5 - 3.4kg之间(OR=4.27, CI95%=1.96-5.59)，估计胎儿体重在3.5-3.9kg之间(OR=5.45;CI95%=2.81-10.60)增加了阴道分娩的几率。结论:我们的研究结果表明，39、40和41周是成功阴道分娩引产的最佳胎龄。此外，估计胎儿体重在2.5公斤至3.9公斤之间有利于顺利阴道分娩。

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Determinants of successful labor induction in a teaching hospital in Nigeria: a 10-year review

Abstract Objectives: to evaluate the success rate of labor induction and determinants of successful outcome. Methods: retrospective cohort study of parturients that undergone labor induction between 2006 and 2015. Data was retrieved from the medical records and multivariate logistic regression was used to evaluate the determinants of successful labor induction. Results: the rate of labor induction was 10.9%. Out of the 940 women analysed, six hundred and fifty-six women (69.8%) had successful vaginal delivery. Labor induction at 39-40 weeks (OR=2.70; CI95%=1.17-6.36), 41 weeks (OR=2.44; CI95%=1.14-5.28), estimated fetal weight between 2.5 and 3.4kg (OR=4.27, CI95%=1.96-5.59) and estimated fetal weight of 3.5-3.9kg (OR=5.45; CI95%=2.81-10.60) increased the odds of achieving vaginal delivery. Conclusions: our findings suggest that 39, 40 and 41 weeks are optimal gestational ages for labor induction with respect to successful vaginal delivery. Also, estimated fetal weight between 2.5kg and 3.9kg favours successful vaginal delivery.

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来源期刊

Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.