[短妊娠间隔：危险因素及围产期结局]

[Short interpregnancy intervals: risk factors and perinatal outcomes].

作者信息

Dedecker F, Graesslin O, Ceccaldi P-F, Baudelot E, Montilla F, Derniaux E, Gabriel R

机构信息

Institut Mère-Enfant Alix-de-Champagne, Centre Hospitalier Universitaire, Reims.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2006 Feb;35(1):28-34. doi: 10.1016/s0368-2315(06)76369-4.

DOI:10.1016/s0368-2315(06)76369-4

PMID:16446609

Abstract

OBJECTIVES

To study risk factors and perinatal outcomes in short interpregnancy intervals.

MATERIALS AND METHODS

Retrospective study, between 1995 and 2001, comparing women with short interpregnancy intervals (<6 months, n = 192) and women controls (interpregnancy intervals between 18 and 23 months, n = 210). The analysis included demographical and social factors, maternal medical histories and perinatal outcomes for the 2(nd) pregnancy.

RESULTS

Risk factors of short interpregnancy intervals were: young age, no anterior contraception, celibacy, medical history of intrauterine fetal death or medical pregnancy termination and high parity and gestity. The patients at risks of short interpregnancy intervals often belong to little supported social background, are generally without profession and often leave against medical opinion. The short interval between pregnancies is associated to a high score of prematurity (19% vs 8%, OR = 2.8, p < 0.001).

CONCLUSION

These data suggest that obstetricians and other care providers need to be alert to these identifiable risk factors and then direct preventive strategies during and after pregnancy.

摘要