Suleiman Abeer, Salim Raed
a Department of Obstetrics and Gynecology , Emek Medical Center , Afula , Israel.
b Rappaport Faculty of Medicine , Technion , Haifa , Israel.
J Obstet Gynaecol. 2017 May;37(4):454-458. doi: 10.1080/01443615.2016.1253669. Epub 2016 Dec 26.
A retrospective matched case control study was conducted to examine the incidence of caesarean delivery (CD) among women admitted with polyhydramnios with and without a trial of labour compared to women with normal amniotic fluid index (AFI). Singleton pregnancies diagnosed with polyhydramnios upon admission to labour between 2003 and 2013 were included. A control group (normal AFI) matched at a ratio of 1:1 was randomly selected. Primary outcome was the incidence of CD. A total of 588 women were included. The overall incidence of CD was significantly higher among women with polyhydramnios (31.3%) compared to the controls (18.7%), (p < .001). The incidences of both non-labouring caesarean and intrapartum operative deliveries were significantly higher among women with polyhydramnios compared to the controls (p = .007 and p = .01, respectively). On a multiple logistic regression model, polyhydramnios was found to be an independent risk factor for delivery by a caesarean (p = .0015; OR 2.0; 95%CI 1.30-2.90).
进行了一项回顾性匹配病例对照研究，以检查羊水过多孕妇在进行与未进行引产试验的情况下剖宫产（CD）的发生率，并与羊水指数（AFI）正常的孕妇进行比较。纳入了2003年至2013年入院分娩时诊断为羊水过多的单胎妊娠。随机选择1:1比例匹配的对照组（AFI正常）。主要结局是剖宫产的发生率。共纳入588名女性。羊水过多孕妇的剖宫产总体发生率（31.3%）显著高于对照组（18.7%），（p <.001）。与对照组相比，羊水过多孕妇的非临产剖宫产和产时手术分娩的发生率均显著更高（分别为p =.007和p =.01）。在多元逻辑回归模型中，发现羊水过多是剖宫产分娩的独立危险因素（p =.0015；OR 2.0；95%CI 1.30 - 2.90）。
