骨盆狭窄高发人群中青少年初产妇的分娩结局

Labor outcome of juvenile primiparae in a population with a high incidence of contracted pelvis.

作者信息

Fisk N M, Shweni P M

机构信息

Department of Obstetrics and Gynaecology, King Edward VIII Hospital, Durban, South Africa.

出版信息

Int J Gynaecol Obstet. 1989 Jan;28(1):5-7. doi: 10.1016/0020-7292(89)90536-5.

DOI:10.1016/0020-7292(89)90536-5

PMID:2565831

Abstract

Labor outcome of primiparae less than 17 years was compared with non-juvenile primiparae in a population with a high incidence of contracted pelvis. Juvenile primiparae were referred to hospital on the basis of age, whereas non-juveniles were referred for an obstetric complication. There was no statistical difference in rates of cesarean section, Ventouse, operative delivery, low birth weight, or perinatal mortality between 538 juveniles and 5294 older "high risk" mothers. Symphysiotomy rates were actually higher in the juveniles (12.6% vs. 9.7%, P less than 0.05). These data support the practice of hospital referral for juvenile African women in labor.

摘要

在骨盆狭窄发生率较高的人群中，对年龄小于17岁的初产妇与非青少年初产妇的分娩结局进行了比较。青少年初产妇是根据年龄转诊至医院的，而非青少年初产妇则是因产科并发症而转诊。538名青少年初产妇与5294名年龄较大的“高危”母亲在剖宫产率、胎头吸引术、手术分娩、低出生体重或围产儿死亡率方面无统计学差异。青少年初产妇的耻骨联合切开术发生率实际上更高（12.6%对9.7%，P<0.05）。这些数据支持对临产的非洲青少年妇女进行医院转诊的做法。