Boskabadi Hassan, Saravi Ali, Zakerihamidi Maryam
Department of Pediatrics, Faculty Member of School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
J Obstet Gynaecol India. 2022 Oct;72(5):409-413. doi: 10.1007/s13224-022-01660-9. Epub 2022 May 3.
Preeclampsia is one of the four leading causes for pregnancy complications, maternal-fetal and neonatal mortality. This study was aimed at comparing the incidence of retinopathy of prematurity in neonates of mothers with preeclampsia and neonates of healthy mothers.
This cross-sectional study was performed among 213 mothers, including 49 healthy mothers and 164 mothers with preeclampsia whose neonates were admitted to the neonatal intensive care unit of Ghaem Hospital, Mashhad, Iran, during 2016-2021. The participants were chosen using the convenience sampling method. The data collection tool was a researcher-made checklist including items on laboratory evaluation, maternal and neonatal characteristics, and eye examination. The data were analyzed using -test and Chi-square.
In the two groups, gestational age ( = 0.112), first-minute Apgar score ( = 0.209), and fifth-minute Apgar score ( = 0.949) were not significantly different. There was a significant difference between the two groups in terms of maternal age ( = 0.0001), type of delivery ( = 0.0001), premature rupture of membranes ( = 0.003), and eye condition ( = 0.033).
The results of our study show that preeclampsia affects the prognosis of infants, and in neonates with preeclamptic mothers, the rate of premature rupture of the membranes, cesarean delivery, and retinopathy of prematurity were higher.
子痫前期是妊娠并发症、母婴及新生儿死亡的四大主要原因之一。本研究旨在比较子痫前期母亲所生新生儿与健康母亲所生新生儿的早产儿视网膜病变发生率。
本横断面研究在213名母亲中进行,其中包括49名健康母亲和164例子痫前期母亲,她们的新生儿于2016年至2021年期间入住伊朗马什哈德加姆医院的新生儿重症监护病房。采用便利抽样法选取参与者。数据收集工具是研究人员编制的检查表,包括实验室评估、母婴特征和眼部检查等项目。数据采用t检验和卡方检验进行分析。
两组在胎龄(P = 0.112)、1分钟阿氏评分(P = 0.209)和5分钟阿氏评分(P = 0.949)方面无显著差异。两组在母亲年龄(P = 0.0001)、分娩方式(P = 0.0001)、胎膜早破(P = 0.003)和眼部状况(P = 0.033)方面存在显著差异。
我们的研究结果表明,子痫前期会影响婴儿的预后,子痫前期母亲所生新生儿的胎膜早破、剖宫产和早产儿视网膜病变发生率更高。