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《一家三级保健中心妇产科入院孕妇胎盘早剥:描述性横断面研究》。

Abruptio Placenta among Pregnant Women Admitted to the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Nov 2;60(255):918-921. doi: 10.31729/jnma.7796.

Abstract

INTRODUCTION

Abruptio placenta is the complete or partial separation of the normally implanted placenta before delivery of the foetus. It is one of the commonest causes of antepartum haemorrhage affecting maternal and foetal outcomes. Early detection and timely intervention of abruptio placenta in daily clinical practice are important to improve maternal and perinatal outcomes. The objective of the study was to find out the prevalence of abruptio placenta among the pregnant women admitted to the Department of Obstetrics and Gynaecology in a tertiary care centre.

METHODS

A descriptive cross-sectional study was done among the pregnant women admitted to the Department of Obstetrics and Gynaecology in a tertiary care centre where data from medical records was taken from 1 January, 2021 to 31 December, 2021 after taking ethical approval from the Institutional Review Committee (Reference number: 1102202208). Demographic details of the patients including age and parity were recorded. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Out of 1514 deliveries, abruptio placenta was seen in 10 (0.66%) (0.25-1.07, 95% Confidence Interval) cases.

CONCLUSIONS

The prevalence of abruptio placenta among pregnancies was similar to the studies done in similar settings.

KEYWORDS

abruptio placenta; epidemiology; fetal outcome; incidence; maternal outcome.

摘要

介绍

胎盘早剥是指胎儿分娩前胎盘完全或部分从正常附着位置剥离。它是导致产前出血的最常见原因之一,会影响母婴结局。在日常临床实践中,早期发现和及时干预胎盘早剥对于改善母婴围生期结局非常重要。本研究旨在调查三级保健中心妇产科收治的孕妇中胎盘早剥的发生率。

方法

这是一项描述性的横断面研究,在获得机构审查委员会的伦理批准后(参考编号:1102202208),对 2021 年 1 月 1 日至 2021 年 12 月 31 日期间在三级保健中心妇产科收治的孕妇进行了数据采集。记录患者的人口统计学资料,包括年龄和产次。采用便利抽样法。计算点估计值和 95%置信区间。

结果

在 1514 例分娩中,有 10 例(0.66%)(0.25-1.07,95%置信区间)发生胎盘早剥。

结论

与类似环境下的研究相比,本研究中妊娠合并胎盘早剥的发生率相似。

关键词

胎盘早剥;流行病学;胎儿结局;发生率;母婴结局。

相似文献

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Etiology, clinical manifestations, and prediction of placental abruption.胎盘早剥的病因、临床表现及预测。
Acta Obstet Gynecol Scand. 2010 Jun;89(6):732-40. doi: 10.3109/00016341003686081.
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Clinical presentation and risk factors of placental abruption.胎盘早剥的临床表现及危险因素
Acta Obstet Gynecol Scand. 2006;85(6):700-5. doi: 10.1080/00016340500449915.
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Placental abruption and adverse perinatal outcomes.胎盘早剥与不良围产期结局
JAMA. 1999 Nov 3;282(17):1646-51. doi: 10.1001/jama.282.17.1646.

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