Ignatov Tanja, Eggemann Holm, Costa Serban Dan, Ignatov Atanas
Department of Obstetrics and Gynecology, Otto-von-Guericke University, G.-Hauptmann Str. 35, 39108, Magdeburg, Germany.
Arch Gynecol Obstet. 2017 Aug;296(2):223-229. doi: 10.1007/s00404-017-4423-8. Epub 2017 Jun 14.
The aim of this study was to evaluate the perinatal and maternal outcomes at term at a single tertiary, university hospital in women with low-risk pregnancies.
We performed a retrospective cohort study of women with low-risk pregnancies, who delivered at University Women's Hospital Magdeburg between January 2010 and December 2014. Data were compared with data published by Brocklehurst et al. 2011.
Of the 6052 women investigated, 2014 were classified as low risk according to the NICE criteria and were eligible for analysis. In 94.8%, a spontaneous vertex birth was observed. There were only 2 (0.1%) perinatal complications and 52 (2.5%) maternal complications. Ventouse delivery, forceps delivery, and caesarean sections were performed in 2.5, 1, and 3.1% of the cases, respectively. Episiotomy was performed in 37.7% of women. The third and fourth degree perineal trauma were observed in 0.3% of births investigated. Complications during the third stage of labour and blood transfusions were observed in 0.25 and 0.2%, respectively. In comparison with the births at home, we had lower rate of fetal complications for nulliparous women, but not for multiparous women, lower rate for blood transfusions, third and fourth degree perineal trauma and forceps delivery, and higher rate of spontaneous vertex birth, epidural analgesia, and episiotomy. The rate of vacuum extractions and caesarean sections were similar between both the places of birth.
The tertiary-level obstetric unit is safe place of birth for women with low-risk pregnancies.
本研究旨在评估一家单一的三级大学医院中低风险妊娠女性足月时的围产期和产妇结局。
我们对2010年1月至2014年12月在马格德堡大学妇女医院分娩的低风险妊娠女性进行了一项回顾性队列研究。将数据与布罗克赫斯特等人2011年发表的数据进行了比较。
在6052名接受调查的女性中，根据英国国家卫生与临床优化研究所（NICE）标准，有2014名被归类为低风险，有资格进行分析。观察到94.8%为自然头位分娩。围产期并发症仅2例（0.1%），产妇并发症52例（2.5%）。分别有2.5%、1%和3.1%的病例进行了真空吸引分娩、产钳分娩和剖宫产。37.7%的女性进行了会阴切开术。在所调查的分娩中，0.3%观察到三度和四度会阴创伤。分别有0.25%和0.2%的分娩观察到第三产程并发症和输血情况。与在家分娩相比，初产妇的胎儿并发症发生率较低，但经产妇并非如此；输血、三度和四度会阴创伤以及产钳分娩的发生率较低；自然头位分娩、硬膜外镇痛和会阴切开术的发生率较高。两个分娩地点的真空吸引分娩率和剖宫产率相似。
对于低风险妊娠女性，三级产科单位是安全的分娩场所。
