巴格达曾做过一次剖宫产的少女孕妇的产妇和新生儿结局

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Shaymaa Kadhim Jasim, Hayder Al-Momen, Maisaa Anees Wahbi, Rand Almomen
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引用次数: 0

摘要

目的:青少年重复怀孕是一个世界性的热点问题,对卫生系统提出了挑战,特别是在资源有限的情况下。我们的目的是评估有一次剖宫产史(CS)的青春期孕妇的产妇和新生儿结局。材料和方法:招募既往有一个CS疤痕的单胎青少年孕妇,并根据分娩决定和/或母亲的意愿分为两组,试产(TL)或选择性剖宫产(ECS)。如果TL失败,则执行紧急CS。结果:109例患者中,TL组和ECS组分别有78例(71.6%)和31例(28.4%)。TL组的57名(52.3%)女性进行了紧急CS,仅剩下21名(19.3%)成功的TL患者有统计学意义(非复发)的既往CS指征[12名(57.1%)]。先露异常(n = 24;77.4%)是ECS组的主要指征,胎儿窘迫(n=29;(50.9%)是TL失败的主要原因。TL组的总产妇发病率在校正[1.5(1.1-4.2)]和未校正的比值比(OR)[2.4(1.6-5.6)]均显著高于TL组。新生儿并发症,如入院新生儿重症监护病房,在TL组较高,但没有达到显著性。而TL组围产期窒息的校正OR[1.9(1.1-3.3)]明显升高。结论:本研究中TL组青少年妇女的孕产妇发病率和围产期窒息明显高于ECS组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Maternal and neonatal outcomes in adolescent pregnant women with one prior Cesarean section in Baghdad

Maternal and neonatal outcomes in adolescent pregnant women with one prior Cesarean section in Baghdad

Maternal and neonatal outcomes in adolescent pregnant women with one prior Cesarean section in Baghdad

Maternal and neonatal outcomes in adolescent pregnant women with one prior Cesarean section in Baghdad

Objective: Repeat adolescent pregnancy is a hot topic worldwide and imposes a challenge on the health system, especially when faced with limited resources. We aimed to assess maternal and neonatal outcomes in adolescent pregnant women with one prior cesarean section (CS).

Material and methods: Singleton adolescent pregnant women with one prior CS scar were recruited and divided into two groups based on the obstetric decision for delivery and/or mother’s wish, either trial of labor (TL) or elective cesarean section (ECS). If TL failed, an emergency CS was performed.

Results: Out of the total 109 involved women, TL and ECS groups included 78 (71.6%) and 31 (28.4%) women, respectively. Emergency CS was done for 57 (52.3%) women from the TL group, leaving only 21 (19.3%) women with successful TL who had statistically significant (non-recurrent) indications of the prior CS [12 (57.1%)]. Malpresentation (n=24; 77.4%) was the major indication in the ECS group, while fetal distress (n=29; 50.9%) was the main cause of failed TL. Total maternal morbidities in the TL group were significantly higher for adjusted [1.5 (1.1-4.2)] and non-adjusted odds ratios (OR) [2.4 (1.6-5.6)]. Neonatal complications, such as admission to neonatal intensive care unit, were higher in the TL group without reaching significance. However, the adjusted OR [1.9 (1.1-3.3)] for perinatal asphyxia was significantly increased in TL group.

Conclusion: Maternal morbidities and perinatal asphyxia were significantly higher in the TL group of adolescent women compared with the ECS group in this study.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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