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调查在哈利德国王大学医院妇产科诊所就诊的习惯性流产患者的并发症。

Investigating the complications of frequent pregnancy loss in patients referred to obstetrics and gynecology clinics at King Khalid University Hospital.

作者信息

Alotaibi Shahad, Alshobaili Fahdah

机构信息

Department of Family Medicine, King Saud University Medical City, King Khalid University Hospital, Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4569-4574. doi: 10.4103/jfmpc.jfmpc_409_24. Epub 2024 Oct 18.

DOI:10.4103/jfmpc.jfmpc_409_24
PMID:39629412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11610887/
Abstract

BACKGROUND

Recurrent pregnancy loss (RPL) is a common problem affecting many women. This study aimed to investigate the baseline characteristics of 400 women with RPL and to examine any differences in baseline characteristics of the recruited women with RPL throughout the years.

METHODS

This study used retrospective data, which included the records of patients with RPL who visited King Khalid University Hospital's obstetric clinic between 2019 and 2022. The records of 400 patients who met the inclusion criteria were reviewed and analyzed.

RESULTS

The mean age of enrolled women was 36.5 ± 5.4 years, and the mean RPL was 3.8 ± 2.5. The study also revealed that there were significant statistical differences in obesity and vitamin D deficiency among women with RPL based on year ( = 0.013 and = 0.036, respectively), whereas no significant statistical differences were found between women with RPL in terms of age, parity, diabetes, hypothyroidism, hyperprolactinemia, antiphospholipid antibodies (APLs), uterine malformation, or consanguinity.

CONCLUSION

Advanced maternal age, number of previous miscarriages, parity, diabetes, hypothyroidism, APLs, uterine malformations, first-degree consanguinity, and vitamin D deficiency were found to be significant risk factors associated with RPL among women in Saudi Arabia.

摘要

背景

复发性流产(RPL)是影响众多女性的常见问题。本研究旨在调查400例复发性流产女性的基线特征,并研究这些入选的复发性流产女性在不同年份的基线特征差异。

方法

本研究采用回顾性数据,包括2019年至2022年间在哈立德国王大学医院产科门诊就诊的复发性流产患者的记录。对符合纳入标准的400例患者的记录进行了回顾和分析。

结果

入选女性的平均年龄为36.5±5.4岁,平均复发性流产次数为3.8±2.5次。研究还显示,根据年份不同,复发性流产女性在肥胖和维生素D缺乏方面存在显著统计学差异(分别为=0.013和=0.036),而在年龄、产次、糖尿病、甲状腺功能减退、高泌乳素血症、抗磷脂抗体(APL)、子宫畸形或近亲结婚方面,复发性流产女性之间未发现显著统计学差异。

结论

在沙特阿拉伯女性中,高龄产妇、既往流产次数、产次、糖尿病、甲状腺功能减退、抗磷脂抗体、子宫畸形、一级近亲结婚和维生素D缺乏被发现是与复发性流产相关的重要风险因素。

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Investigating the complications of frequent pregnancy loss in patients referred to obstetrics and gynecology clinics at King Khalid University Hospital.调查在哈利德国王大学医院妇产科诊所就诊的习惯性流产患者的并发症。
J Family Med Prim Care. 2024 Oct;13(10):4569-4574. doi: 10.4103/jfmpc.jfmpc_409_24. Epub 2024 Oct 18.
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本文引用的文献

1
Recurrent Pregnancy Loss Etiology, Risk Factors, Diagnosis, and Management. Fresh Look into a Full Box.复发性流产的病因、危险因素、诊断与管理。全面审视这一完整领域。
J Clin Med. 2023 Jun 15;12(12):4074. doi: 10.3390/jcm12124074.
2
Insulin resistance in women with recurrent miscarriage: a systematic review and meta-analysis.反复性流产妇女的胰岛素抵抗:系统评价和荟萃分析。
BMC Pregnancy Childbirth. 2022 Dec 8;22(1):916. doi: 10.1186/s12884-022-05256-z.
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The impact of congenital uterine abnormalities on pregnancy and fertility: a literature review.先天性子宫畸形对妊娠和生育的影响:文献综述。
JBRA Assist Reprod. 2021 Oct 4;25(4):608-616. doi: 10.5935/1518-0557.20210021.
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A novel update on vitamin D in recurrent pregnancy loss (Review).关于复发性妊娠丢失中维生素 D 的最新研究进展(综述)。
Mol Med Rep. 2021 May;23(5). doi: 10.3892/mmr.2021.12021. Epub 2021 Mar 24.
5
Prevalence of Thyroid Autoimmunity in Women with Recurrent Pregnancy Loss.甲状腺自身免疫与复发性流产的相关性研究。
Medicina (Kaunas). 2021 Jan 22;57(2):96. doi: 10.3390/medicina57020096.
6
Recurrent pregnancy loss: current perspectives.复发性流产:当前观点
Int J Womens Health. 2017 May 17;9:331-345. doi: 10.2147/IJWH.S100817. eCollection 2017.
7
Decreased serum vitamin D levels in early spontaneous pregnancy loss.早期自然流产患者血清维生素D水平降低。
Eur J Clin Nutr. 2016 Sep;70(9):1004-8. doi: 10.1038/ejcn.2016.83. Epub 2016 May 25.
8
Diabetes in pregnancy outcomes: a systematic review and proposed codification of definitions.妊娠糖尿病的结局:系统评价与定义的拟议编码
Diabetes Metab Res Rev. 2015 Oct;31(7):680-90. doi: 10.1002/dmrr.2640. Epub 2015 May 7.
9
Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies.母体血清 25-羟维生素 D 水平与妊娠和新生儿结局的关系:观察性研究的系统评价和荟萃分析。
BMJ. 2013 Mar 26;346:f1169. doi: 10.1136/bmj.f1169.
10
Evaluation and treatment of recurrent pregnancy loss: a committee opinion.复发性妊娠丢失的评估与治疗:委员会意见。
Fertil Steril. 2012 Nov;98(5):1103-11. doi: 10.1016/j.fertnstert.2012.06.048. Epub 2012 Jul 24.