阿曼肩难产的风险因素概况：一项病例对照研究。
Risk factors profile of shoulder dystocia in oman: a case control study.
作者信息
Al-Khaduri Maha M, Abudraz Rania Mohammed, Rizvi Sayed G, Al-Farsi Yahya M
机构信息
Department of Obstetrics and Gynaecology, Sultan Qaboos University, Muscat, Oman.
Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, P.O. Box 35, 123 Al-Khod, Sultanate of Oman.
出版信息
Oman Med J. 2014 Sep;29(5):325-9. doi: 10.5001/omj.2014.88.
OBJECTIVE
This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country.
METHODS
A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factors, delivery, and obstetric complications were collected.
RESULTS
Dystocia was significantly associated with older maternal age, higher parity, larger BMI, diabetes, and previous record of dystocia. In addition, dystocia was associated more with vacuum and forceps deliveries. Routine traction (51%) was the most used manoeuvre. Among dystocia cases, 13% were associated with fetal complications of which Erb's Palsy was the most prevalent (79%).
CONCLUSION
Our finding of significant associations with risk factors lays out the ground to develop a predictability index for shoulder dystocia, which would help in making it preventable. Further p rospective studies are required to confirm the obtained results.
目的
本研究旨在评估阿曼这个发展中的阿拉伯国家肩难产及相关新生儿并发症的风险因素概况。
方法
在阿曼一家三级护理医院1994 - 2006年期间确诊的111例难产病例和111例对照中进行了一项回顾性病例对照研究。对照在未发生难产的女性中随机选取，并与分娩当天的病例进行匹配。收集了与潜在风险因素、分娩及产科并发症相关的数据。
结果
难产与产妇年龄较大、胎次较高、体重指数较高、糖尿病及既往难产史显著相关。此外，难产与真空吸引和产钳助产关联更大。常规牵引（51%）是最常用的手法。在难产病例中，13%与胎儿并发症有关，其中臂丛神经麻痹最为常见（79%）。
结论
我们发现的与风险因素的显著关联为制定肩难产预测指数奠定了基础，这将有助于预防肩难产。需要进一步的前瞻性研究来证实所得结果。
Zotero 插件