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波兰华沙单中心 4350 例产妇分娩诱导影响因素的回顾性分析。

Retrospective Analysis of the Factors Affecting the Induction of Childbirth in 4350 Women from a Single Center in Warsaw, Poland.

机构信息

Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 00-575 Warsaw, Poland.

Department of Human Anatomy, Faculty of Health Sciences, Medical University of Warsaw, 02-004 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 Aug 3;19(15):9540. doi: 10.3390/ijerph19159540.

Abstract

Labor induction is one of the most common procedures performed during childbirth, on average in 20−30% of all pregnant women. The aim of this paper was to perform a retrospective analysis of the factors influencing the induction of childbirth. The data provide population-based evidence for Poland (Masovian Voivodeship). The electronic patient records of a hospital in Warsaw were used to create an anonymous retrospective database of all deliveries from 2015 to 2020. The study included an analysis of two groups of patients. The study group consisted of patients with labor induction—4350 cases, and the control group of patients with spontaneous contractions—20,345. The factors influencing the lower frequency of labor induction in the study group were previous cesarean section (OR = 0.73, 95% CI: 0.64−0.84, p < 0.05) and a higher number of deliveries (OR = 0.74, 95% CI: 0.68−0.80, p < 0.05). It is necessary to conduct further research about obstetric procedures used during childbirth, such as induction of childbirth, to reduce the risk of complications and improve the perinatal care of the mother and the neonate.

摘要

分娩诱导是分娩过程中最常见的程序之一,平均在所有孕妇中占 20-30%。本文旨在对影响分娩诱导的因素进行回顾性分析。该数据为波兰(马佐夫舍省)提供了基于人群的证据。利用华沙一家医院的电子患者记录创建了一个匿名的 2015 年至 2020 年所有分娩的回顾性数据库。该研究包括对两组患者的分析。研究组为分娩诱导患者,共 4350 例,对照组为自发性宫缩患者,共 20345 例。影响研究组分娩诱导频率较低的因素是既往剖宫产(OR=0.73,95%CI:0.64-0.84,p<0.05)和分娩次数较多(OR=0.74,95%CI:0.68-0.80,p<0.05)。有必要对分娩过程中使用的产科程序(如分娩诱导)进行进一步研究,以降低并发症风险并改善母婴围产期护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7a/9368280/6913ed57d8ab/ijerph-19-09540-g001.jpg

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