早产子痫前期：妊娠32至37周。
Preterm preeclampsia: 32 to 37 weeks gestation.
作者信息
Jelin Angie C, Kaimal Anjali J, Kuzniewicz Michael, Little Sarah E, Cheng Yvonne W, Caughey Aaron B
机构信息
Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA 94143, USA.
出版信息
J Matern Fetal Neonatal Med. 2012 Nov;25(11):2198-201. doi: 10.3109/14767058.2012.684110. Epub 2012 May 10.
OBJECTIVE
To evaluate neonatal outcomes in late preterm infants delivered due to preeclampsia.
METHODS
A retrospective cohort of 3580 infants delivered at 32 0/7 to 36 6/7 weeks gestation was examined. Neonatal outcomes of infants delivered due to preeclampsia were compared with outcomes of infants delivered prematurely due to other etiologies. Multivariate logistic regression was used to analyze the association between preeclampsia and the neonatal outcomes.
RESULTS
Infants of women with preeclampsia were more likely to be SGA (26.8% vs. 8.4%). They were also more likely to be admitted to the ICN (54.3% versus 39.0%); however, they were less likely to suffer a neonatal death (2.2% vs. 3.4%). Infants born to women with preeclampsia had similar rates of RDS (19.8% vs. 14.2%).
DISCUSSION
Neonatal outcomes in late preterm infants born to preeclamptic mothers are significantly different from outcomes in late preterm neonates delivered due to other indications.
目的
评估因子痫前期而分娩的晚期早产儿的新生儿结局。
方法
对3580例孕32⁰/₇至36⁶/₇周分娩的婴儿进行回顾性队列研究。将因子痫前期而分娩的婴儿的新生儿结局与因其他病因早产的婴儿的结局进行比较。采用多因素逻辑回归分析子痫前期与新生儿结局之间的关联。
结果
子痫前期孕妇的婴儿更有可能为小于胎龄儿（26.8%对8.4%）。他们也更有可能入住新生儿重症监护病房（54.3%对39.0%）；然而，他们发生新生儿死亡的可能性较小（2.2%对3.4%）。子痫前期孕妇所生婴儿的呼吸窘迫综合征发生率相似（19.8%对14.2%）。
讨论
子痫前期母亲所生晚期早产儿的新生儿结局与因其他指征分娩的晚期早产儿的结局显著不同。
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