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青少年和成年患者的子痫前期和新生儿结局。

Preeclampsia and neonatal outcomes in adolescent and adult patients.

机构信息

Department of Obstetrics and Gynaecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Department of Obstetrics and Gynaecology, University Emergency Hospital Bucharest, Bucharest, Romania.

出版信息

J Med Life. 2022 Dec;15(12):1488-1492. doi: 10.25122/jml-2022-0264.

Abstract

Preeclampsia is an important health problem with a higher prevalence in the adolescent population. Furthermore, preeclampsia causes adverse maternal and neonatal outcomes. Newborns can be affected by preeclampsia, resulting in lower birth weight or Apgar score, the need for neonatal intensive care, or prematurity. All these complications are also associated with adolescent pregnancies, and together with preeclampsia, it can determine poorer neonatal outcomes. The aim of the study was to compare the neonatal outcomes of adolescents and adults with preeclampsia. We analyzed data on all the newborns of adolescents with preeclampsia (n=12) who delivered at the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest between January 1, 2019, and December 31, 2019 and compared it with data from 12 aleatory newborns of adults diagnosed with preeclampsia. The prevalence of preeclampsia was higher in the adolescent population compared with the adult one. The weight of newborns was lower among adolescents with preeclampsia. There were no significant differences in Apgar scores between the two groups. Preterm delivery was more frequent in adolescent patients with preeclampsia. Preeclampsia is an additional risk factor for adolescent pregnancy, but it is also a severe materno-fetal complication for this population.

摘要

子痫前期是一个重要的健康问题,在青少年人群中的发病率更高。此外,子痫前期会导致母婴不良结局。新生儿可能会受到子痫前期的影响,导致出生体重较低或阿普加评分较低、需要新生儿重症监护、早产等。所有这些并发症也与青少年妊娠有关,再加上子痫前期,可能会导致新生儿结局更差。本研究旨在比较青少年和成年子痫前期患者的新生儿结局。我们分析了 2019 年 1 月 1 日至 12 月 31 日在布加勒斯特大学急诊医院妇产科分娩的 12 例青少年子痫前期患者(n=12)的所有新生儿数据,并将其与 12 例随机成年子痫前期患者的新生儿数据进行了比较。与成年组相比,青少年组子痫前期的患病率更高。患有子痫前期的青少年新生儿体重较低。两组的阿普加评分无显著差异。青少年子痫前期患者早产更为常见。子痫前期是青少年妊娠的一个额外风险因素,但也是该人群中严重的母婴并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da6/9884345/02667d3a62c8/JMedLife-15-1488-g001.jpg

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