Department of Obstetrics and Gynaecology, College of Medicine, Mustansiriyah University, Iraq.
Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq.
J Pak Med Assoc. 2021 Dec;71(Suppl 9)(12):S24-S28.
To investigate the association between hospitalisation of cases affected during the first and second trimester of pregnancy with the increased intrapartum complication attributed to placental dysfunction disorders. Additionally to highlight the distinct maternal factors and foetal morbidity patterns for improving the obstetrical outcome.
An observational study was carried out in Al-Yarmouk Hospital, Baghdad, Iraq from the 1st December 2019 to end December, 2020, recruiting 250 singleton pregnancy of gestational age >10 to >21 completed weeks until delivery. Patients were grouped into two; taking gestational age on admission as a divider; group1 < 10 weeks and group 2 > 12 weeks till completed 21weeks. Participants had at least one hospitalisation for this diagnosis. After a detailed history and examination and recording associated maternal morbidities, including hypertension, hyperthyroidism and diabetes; furthermore, we excluded intrapartum complications as Prematurity, abnormality in foetal weight including stillbirth and preeclampsia risk.
None of the demographic criteria nor maternal morbidity factors were significant on analyses. Conversely, all intrapartum complications were significantly higher in both recruited groups.
The strong relationship between hyperemesis gravidarum and placental dysfunction related complications highlight admitted HG cases as a higher risk group; being liable for severe foetomaternal morbidities, demanding more surveillance for a better outcome.
研究妊娠前三个月和后三个月住院与胎盘功能障碍引起的分娩期并发症增加之间的关联。此外，还强调了不同的产妇因素和胎儿发病模式，以改善产科结局。
本研究为在伊拉克巴格达 Al-Yarmouk 医院进行的观察性研究，研究时间为 2019 年 12 月 1 日至 2020 年 12 月结束，共招募了 250 例孕龄>10 至>21 周的单胎妊娠直至分娩。患者被分为两组；以入院时的孕龄为分界线；组 1<10 周，组 2>12 周直至完成 21 周。所有患者均至少因该诊断住院一次。在详细询问病史和进行体格检查并记录相关的产妇合并症，包括高血压、甲状腺功能亢进和糖尿病；此外，我们还排除了早产、胎儿体重异常（包括死产）和子痫前期风险等分娩期并发症。
在分析中，没有一个人口统计学标准或产妇合并症因素是显著的。相反，所有的分娩期并发症在两组患者中均显著升高。
妊娠剧吐与胎盘功能障碍相关并发症之间的强烈关系突出了入院时患有妊娠剧吐的病例为高风险组；易发生严重的母婴并发症，需要更多的监测以获得更好的结局。
