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熟能生巧吗?比利时弗拉芒大区关于多产次的年龄匹配研究。

Does practice make perfect? An age-matched study on grand multiparity in Flanders, Belgium.

作者信息

Jacquemyn Yves, Senten Leen, Vellinga Sanne, Vermeulen Katrien, Martens Guy

机构信息

Department of Ostetrics and Gynecology, Antwerp University Hospital UZA, Wilrijkstraat 10, 2650 Edegem, Belgium.

出版信息

J Perinat Med. 2006;34(1):28-31. doi: 10.1515/JPM.2006.004.

Abstract

AIM

To compare the perinatal outcome of grand multi-parous women (giving birth for the fifth to ninth time) and pauciparous (parity 2 to 4) women in the region of Flanders, Belgium.

METHODS

Population-based, retrospective, age-matched study.

RESULTS

2832 grand multiparous women were compared with 2832 pauciparous women. In univariate analysis grand multiparous women showed more transverse lie, macrosomia, and fetal death and had less frequently epidural analgesia and episiotomy. Logistic regression demonstrated that grand multiparity was a significant factor contributing to fetal death and macrosomia.

CONCLUSION

Grand multiparity is associated with fetal death and macrosomia in the region of Flanders, Belgium.

摘要

目的

比较比利时弗拉芒地区多产孕妇(生育五至九胎)和少产孕妇(产次为2至4次)的围产期结局。

方法

基于人群的回顾性年龄匹配研究。

结果

将2832名多产孕妇与2832名少产孕妇进行比较。单因素分析显示,多产孕妇出现横位、巨大儿和胎儿死亡的情况更多,硬膜外镇痛和会阴切开术的使用频率更低。逻辑回归表明,多产是导致胎儿死亡和巨大儿的一个重要因素。

结论

在比利时弗拉芒地区,多产与胎儿死亡和巨大儿有关。

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