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复发性自然流产妇女与具有良好生育史妇女的特征。

Characteristics of women with recurrent spontaneous abortions and women with favorable reproductive histories.

作者信息

Strobino B, Fox H E, Kline J, Stein Z, Susser M, Warburton D

出版信息

Am J Public Health. 1986 Aug;76(8):986-91. doi: 10.2105/ajph.76.8.986.

DOI:10.2105/ajph.76.8.986
PMID:3728772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1646627/
Abstract

Women with a history of recurrent spontaneous abortions (repeaters) are compared with women who have had live births and no spontaneous abortions (multiparae) and women who have had live births and only one spontaneous abortion (sporadics) to identify characteristics of the women and their abortuses that might predict subsequent fetal loss. A number of risk factors for recurrent spontaneous abortion have been identified: the loss of a chromosomally normal conception, loss after the first trimester of pregnancy, a delay in conceiving prior to the study pregnancy, a diagnosis of cervical incompetence, and a history of very low birthweight deliveries. The odds ratios associated with being a repeater vary from 1.4 to 5.6 depending on the number of characteristics present.

摘要

将有复发性自然流产史的女性(复发性流产者)与有活产史且无自然流产的女性(经产妇)以及有活产史且仅有一次自然流产的女性(偶发性流产者)进行比较,以确定可能预测后续胎儿丢失的女性及其流产胎儿的特征。已确定了一些复发性自然流产的风险因素:染色体正常妊娠的丢失、妊娠中期后流产、本次研究妊娠前受孕延迟、宫颈机能不全的诊断以及极低出生体重儿分娩史。根据存在的特征数量,与作为复发性流产者相关的优势比在1.4至5.6之间变化。

相似文献

1
Characteristics of women with recurrent spontaneous abortions and women with favorable reproductive histories.复发性自然流产妇女与具有良好生育史妇女的特征。
Am J Public Health. 1986 Aug;76(8):986-91. doi: 10.2105/ajph.76.8.986.
2
Induced abortion and low birthweight in the following pregnancy.人工流产与后续妊娠中的低出生体重。
Int J Epidemiol. 2000 Feb;29(1):100-6. doi: 10.1093/ije/29.1.100.
3
History of miscarriage and increased incidence of fetal aneuploidy in subsequent pregnancy.流产史及后续妊娠中胎儿非整倍体发生率增加。
Obstet Gynecol. 2006 May;107(5):1098-102. doi: 10.1097/01.AOG.0000215560.86673.22.
4
Occurrence of other reproductive failures among women with recurrent spontaneous abortion.
Am J Reprod Immunol. 1991 Apr;25(3):96-8. doi: 10.1111/j.1600-0897.1991.tb01073.x.
5
Frequency of abnormal karyotypes among abortuses from women with and without a history of recurrent spontaneous abortion.有和无复发性自然流产史的女性流产胎儿中异常核型的频率。
Fertil Steril. 1996 Feb;65(2):250-3. doi: 10.1016/s0015-0282(16)58079-0.
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Induced abortion and the chromosomal characteristics of subsequent miscarriages (spontaneous abortions).人工流产与后续自然流产的染色体特征
Am J Epidemiol. 1986 Jun;123(6):1066-79. doi: 10.1093/oxfordjournals.aje.a114335.
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Modelling prior reproductive history to improve prediction of risk for very preterm birth.建立既往生育史模型以提高极早产风险预测能力。
Paediatr Perinat Epidemiol. 2010 Sep;24(5):402-15. doi: 10.1111/j.1365-3016.2010.01134.x.
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Suboptimal pregnancy outcome among women with prior abortions and premature births.既往有流产和早产史的女性中妊娠结局欠佳。
Am J Obstet Gynecol. 1976 Sep 1;126(1):55-60. doi: 10.1016/0002-9378(76)90465-8.
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Is there a higher prevalence of pregnancy complications in a live-birth preceding the appearance of recurrent abortions?在复发性流产出现之前的活产中,妊娠并发症的发生率是否更高?
Arch Gynecol Obstet. 2005 Apr;271(4):350-4. doi: 10.1007/s00404-004-0640-z. Epub 2004 Jun 25.
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Sex differences of abortuses and neonates in women with allo-immune recurrent abortions.同种免疫复发性流产女性中流产儿与新生儿的性别差异。
Reprod Biomed Online. 2004 Sep;9(3):306-11. doi: 10.1016/s1472-6483(10)62146-3.

引用本文的文献

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Understanding recurrent pregnancy loss: recent advances on its etiology, clinical diagnosis, and management.认识复发性流产:其病因、临床诊断及治疗的最新进展
Med Rev (2021). 2022 Dec 19;2(6):570-589. doi: 10.1515/mr-2022-0030. eCollection 2022 Dec.
2
The association between miscarriage and fecundability: the Norwegian Mother, Father and Child Cohort Study.流产与生育力之间的关联:挪威母婴儿童队列研究。
Hum Reprod. 2022 Jan 28;37(2):322-332. doi: 10.1093/humrep/deab252.
3
The role of methylenetetrahydrofolate reductase C677T polymorphism on the peripheral blood natural killer cell proportion in women with unexplained recurrent miscarriages.亚甲基四氢叶酸还原酶C677T基因多态性对不明原因复发性流产女性外周血自然杀伤细胞比例的作用。
Clin Exp Reprod Med. 2011 Sep;38(3):168-73. doi: 10.5653/cerm.2011.38.3.168. Epub 2011 Sep 30.
4
Implications of sperm chromosome abnormalities in recurrent miscarriage.精子染色体异常在复发性流产中的影响。
J Assist Reprod Genet. 1999 May;16(5):253-8. doi: 10.1023/a:1020315529090.
5
Does the karyotype of a spontaneous abortion predict the karyotype of a subsequent abortion? Evidence from 273 women with two karyotyped spontaneous abortions.自然流产的核型能否预测随后流产的核型?来自273名有两次核型分析的自然流产女性的证据。
Am J Hum Genet. 1987 Sep;41(3):465-83.
6
Healthy worker effect and pregnancy: role of adverse obstetric history and social characteristics.健康工人效应与妊娠:不良产科史和社会特征的作用。
J Epidemiol Community Health. 1987 Dec;41(4):312-20. doi: 10.1136/jech.41.4.312.

本文引用的文献

1
On the possibility of segregation in the propensity to spontaneous abortion in the human female.关于人类女性自然流产倾向中存在分离现象的可能性。
Ann Hum Genet. 1961 Dec;25:207-13. doi: 10.1111/j.1469-1809.1962.tb01521.x.
2
A GENETICAL AND CYTOLOGICAL STUDY OF REPEATED SPONTANEOUS ABORTION.
Ann Hum Genet. 1963 Aug;27:87-100. doi: 10.1111/j.1469-1809.1963.tb00784.x.
3
On the probability that a woman who has had a spontaneous abortion will abort in subsequent pregnancies.关于曾有自然流产史的女性在后续妊娠中发生流产的概率。
J Obstet Gynaecol Br Emp. 1961 Oct;68:784-8. doi: 10.1111/j.1471-0528.1961.tb02810.x.
4
Chromosomal findings in 164 couples with repeated spontaneous abortions: with special consideration to prior reproductive history.164对反复自然流产夫妇的染色体检查结果:特别考虑既往生育史
Hum Genet. 1983;63(1):28-34. doi: 10.1007/BF00285393.
5
Drinking during pregnancy and spontaneous abortion.孕期饮酒与自然流产
Lancet. 1980 Jul 26;2(8187):176-80. doi: 10.1016/s0140-6736(80)90062-8.
6
Retrospective and prospective epidemiological studies of 1500 karyotyped spontaneous human abortions.对1500例经核型分析的人类自然流产进行回顾性和前瞻性流行病学研究。
Teratology. 1975 Aug;12(1):11-26. doi: 10.1002/tera.1420120103.
7
Aetiology of spontaneous abortion. A cytogenetic and epidemiological study of 288 abortuses and their parents.自然流产的病因学。对288例流产胎儿及其父母的细胞遗传学和流行病学研究。
Acta Obstet Gynecol Scand Suppl. 1976;52:1-29.
8
Smoking: a risk factor for spontaneous abortion.吸烟:自然流产的一个风险因素。
N Engl J Med. 1977 Oct 13;297(15):793-6. doi: 10.1056/NEJM197710132971501.
9
Common HLA antigens in couples with repeated abortions.反复流产夫妇中的常见人类白细胞抗原
Clin Immunol Immunopathol. 1977 May;7(3):330-5. doi: 10.1016/0090-1229(77)90066-6.
10
Direct evidence of luteal insufficiency in women with habitual abortion.习惯性流产女性黄体功能不全的直接证据。
Obstet Gynecol. 1977 Jun;49(6):705-8.