Ylöstalo P, Ylikorkala O
Ann Chir Gynaecol Fenn. 1975;64(2):123-7.
This retrospective study was performed in order to evaluate the frequency and the causes for itching during pregnancy. The series consists of 129 pregnant women with generalized itching, which is 1.2% of all deliveries. The most common cause for itching was hepatosis of pregnancy (83%). The other causes were pruritus of pregnancy without any liver dysfunction (12%), dermatitis (3%) and other (2%). The average time of the onset of itching was the 30th pregnancy week in hepatosis of pregnancy and the 26.5th pregnancy week in pruritus of pregnancy. The frequency of toxaemia of pregnancy varied within 24-33% in the different itching groups and that of urinary tract infection within 21-33%. The proportion of urinary tract infection was also fairly high, 23-24%, among the previous diseases. Perinatal mortality in previous pregnancies was reported by 14 patients (9.0%), 11 of them in hepatosis group (9.6%). The corresponding frequencies of perinatal mortality in the present pregnancy were 1.6% and 1.9%. The drugs most frequently used during the present pregnancy before admission were antibiotics and other chemotherapeutic agents, sulphonamide being the most common.
本回顾性研究旨在评估妊娠期瘙痒的发生率及病因。该系列研究包括129例全身瘙痒的孕妇,占所有分娩孕妇的1.2%。瘙痒最常见的病因是妊娠肝内胆汁淤积症(83%)。其他病因包括无肝功能障碍的妊娠瘙痒(12%)、皮炎(3%)及其他(2%)。妊娠肝内胆汁淤积症瘙痒的平均发作时间为妊娠第30周,无肝功能障碍的妊娠瘙痒为第26.5周。不同瘙痒组妊娠中毒症的发生率在24% - 33%之间,尿路感染的发生率在21% - 33%之间。既往疾病中尿路感染的比例也相当高,为23% - 24%。14例患者(9.0%)报告了既往妊娠的围产期死亡率,其中11例在妊娠肝内胆汁淤积症组(9.6%)。本次妊娠围产期死亡率的相应发生率分别为1.6%和1.9%。本次妊娠入院前最常用的药物是抗生素和其他化疗药物,其中磺胺类最为常见。