Szyszka Monika, Rzońca Ewa, Rychlewicz Sylwia, Bączek Grażyna, Ślęzak Daniel, Rzońca Patryk
Department of Human Anatomy, Faculty of Health Sciences, Medical University of Warsaw, 02-004 Warsaw, Poland.
Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 00-575 Warsaw, Poland.
Healthcare (Basel). 2023 Jun 15;11(12):1763. doi: 10.3390/healthcare11121763.
Preterm births and parity are two medical areas that seem to be entirely different from each other. The aim of this study was to analyze the relationships between parity and maternal and neonatal outcomes associated with preterm birth. This study involved a retrospective analysis of electronic medical records from St. Sophia Hospital in Warsaw (Poland). This study was conducted among women who gave birth to preterm infants between 1 January 2017 and 31 December 2021. A total of 2043 cases of preterm births were included in the final analysis. A higher odds ratio of preterm birth in primiparas was found in women living in a city/town (OR = 1.56) and having secondary (OR = 1.46) and higher education (OR = 1.82). Multiparas who gave birth to preterm infants were more frequently diagnosed with gestational diabetes (19.69%) than primiparas. Multiparas were more likely to give birth to preterm infants who received an Apgar score of ≤7 both at 1 and 5 min after birth (25.80% and 15.34%). The results of our study emphasize the differences between primiparas and multiparas who give birth to preterm infants. Knowledge of these differences is essential to improve the perinatal care provided to mothers and their infants.
早产和产次是两个看似完全不同的医学领域。本研究的目的是分析产次与早产相关的孕产妇和新生儿结局之间的关系。本研究对波兰华沙圣索菲亚医院的电子病历进行了回顾性分析。本研究在2017年1月1日至2021年12月31日期间分娩早产儿的妇女中进行。最终分析纳入了2043例早产病例。在居住在城市/城镇（比值比=1.56）、接受过中等教育（比值比=1.46）和高等教育（比值比=1.82）的女性中，初产妇早产的比值比更高。分娩早产儿的经产妇比初产妇更常被诊断为妊娠期糖尿病（19.69%）。经产妇更有可能分娩出生后1分钟和5分钟阿氏评分≤7分的早产儿（分别为25.80%和15.34%）。我们的研究结果强调了分娩早产儿的初产妇和经产妇之间的差异。了解这些差异对于改善为母亲及其婴儿提供的围产期护理至关重要。
