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孕早期阴道出血孕妇的母儿结局

Maternal and perinatal outcomes in pregnant women with first trimester vaginal bleeding.

作者信息

Amirkhani Zhila, Akhlaghdoust Meisam, Abedian Media, Salehi Gelareh Rabie, Zarbati Nesa, Mogharehabed Maryam, Arefian Sahba, Jafarabadi Mina

机构信息

Islamic Azad University Research Center, Tehran Medical Branch, Tehran, Iran.

Young Researchers' Club, Islamic Azad University, Tehran Medical Branch, Tehran, Iran ; Students' Research Committee, Islamic Azad University, Tehran Medical Branch, Tehran, Iran.

出版信息

J Family Reprod Health. 2013 Jun;7(2):57-61.

Abstract

OBJECTIVE

To study the pregnancy outcomes in first trimester vaginal bleeding.

MATERIALS AND METHODS

This cross sectional study was done on 60 pregnant women with first trimester vaginal bleeding referring to university hospitals affiliated to Islamic Azad University, Tehran, Iran. All women were evaluated for the outcomes including abortion, preterm rapture of membranes, preterm labor, second and third trimester vaginal bleeding, low birth weight and intra uterine growth retardation and the mode of delivery. Data were analyzed using SPSS- 11.

RESULTS

Placenta accreta, second trimester bleeding and preterm labor were significantly more prevalent in pregnant women with first trimester bleeding (P ≤ 0.05).

CONCLUSION

According to results of present study vaginal bleeding in first trimester of pregnancy may predict further maternal and fetal complications. We recommend training pregnant women regarding those complications and their prevention.

摘要

目的

研究孕早期阴道出血的妊娠结局。

材料与方法

本横断面研究对60例孕早期阴道出血的孕妇进行,这些孕妇转诊至伊朗德黑兰伊斯兰阿扎德大学附属的大学医院。对所有孕妇评估结局,包括流产、胎膜早破、早产、孕中期及孕晚期阴道出血、低出生体重和胎儿生长受限以及分娩方式。使用SPSS - 11分析数据。

结果

胎盘植入、孕中期出血和早产在孕早期出血的孕妇中显著更常见(P≤0.05)。

结论

根据本研究结果,妊娠早期阴道出血可能预示着进一步的母婴并发症。我们建议对孕妇进行有关这些并发症及其预防的培训。

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本文引用的文献

2
Assessment and management of bleeding in the first trimester of pregnancy.评估和管理妊娠早期的出血。
J Midwifery Womens Health. 2009 Nov-Dec;54(6):483-91. doi: 10.1016/j.jmwh.2009.08.007.
3
First trimester bleeding.孕早期出血。
Am Fam Physician. 2009 Jun 1;79(11):985-94.
8
First trimester bleeding evaluation.孕早期出血评估。
Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4.
10
Ultrasound assessment of first-trimester bleeding.
Obstet Gynecol. 2005 Feb;105(2):333-8. doi: 10.1097/01.AOG.0000151105.53557.27.

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