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有先兆流产的女性的妊娠结局:一项为期一年的研究。

Pregnancy outcome in women with threatened miscarriage: a year study.

作者信息

Ahmed Salah Roshdy, El-Sammani Mohamed El-Khatem, Al-Sheeha Muneera Al-Alaziz, Aitallah Abdou Saeed, Jabin Khan Farhat, Ahmed Salah Roshdy

机构信息

Maternity and children hospital, Buraida KSA, Qassim college of medicine, Sohag university, Egypt.

出版信息

Mater Sociomed. 2012;24(1):26-8. doi: 10.5455/msm.2012.24.26-28.

Abstract

INTRODUCTION

Patients with threatened miscarriage associated with adverse pregnancy outcomes because of associated pregnancy and labor complications.

OBJECTIVES

To evaluate the effect of threatened miscarriage on early and late pregnancy outcome.

METHODS

A retrospective case-controlled study was performed on 89 women with threatened miscarriage (study group) at Maternity and Children Hospital Buraidah, KSA from January 2010 to December 2010. They were matched for age and parity to 45 cases (control group) attending route antenatal clinic at the same time. Data recorded included, demographic characteristics and detailed pregnancy outcome and ultrasound finding including gestational age, cardiac activity and subchorionic hematoma.

RESULTS

The overall adverse pregnancy outcome was significantly higher in the studied cases compared to the control group (p=015).The miscarriage rate was significantly higher in study group compared to the controls group, (16.9%vs 2.2%, p=0000). Preterm delivery, babies with low birth weight and premature rupture of membranes were significantly higher in the miscarriage group compared to the controls group, (15.7% vs 2.2%, p=0.001), (15.7% vs 2.2%), p=0.001) and (6.7%) vs 4.45), p=0.016). There were no significant differences in other pregnancy outcomes.

CONCLUSION

threatened miscarriage is associated with increased incidence of adverse pregnancy outcome. The risk is specially increased in premature rupture of the membranes, preterm delivery and neonatal birth weight.

摘要

引言

因妊娠及分娩并发症,先兆流产患者会出现不良妊娠结局。

目的

评估先兆流产对妊娠早、晚期结局的影响。

方法

对沙特阿拉伯布赖代妇幼医院2010年1月至2010年12月的89例先兆流产妇女(研究组)进行回顾性病例对照研究。将她们按年龄和产次与同期在常规产前门诊就诊的45例患者(对照组)进行匹配。记录的数据包括人口统计学特征、详细的妊娠结局以及超声检查结果,包括孕周、心搏和绒毛膜下血肿。

结果

与对照组相比,研究组总体不良妊娠结局显著更高(p = 0.15)。研究组流产率显著高于对照组(16.9%对2.2%,p = 0.0000)。流产组早产、低出生体重儿和胎膜早破的发生率显著高于对照组(15.7%对2.2%,p = 0.001),(15.7%对2.2%,p = 0.001)以及(6.7%对4.45%,p = 0.016)。其他妊娠结局无显著差异。

结论

先兆流产与不良妊娠结局发生率增加有关。胎膜早破、早产和新生儿出生体重方面的风险尤其增加。

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