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不同孕周低风险初产妇的新生儿和产妇发病率

Neonatal and maternal morbidity rates in low-risk nulliparous women across different gestational ages.

作者信息

Kong Fanjuan, Li Bo, Liu Jie, Chen Yaru, She Zhihua

机构信息

Hunan Maternal and Child Health Care Hospital Medical Records Management Department, Changsha 410008, China.

Hunan Maternal and Child Health Care Hospital Office, Changsha 410008, China.

出版信息

iScience. 2024 Dec 19;28(4):111636. doi: 10.1016/j.isci.2024.111636. eCollection 2025 Apr 18.

Abstract

This study examines perinatal outcomes in low-risk nulliparous women and their neonates across different gestational ages. Using data from 18 hospitals, we analyzed maternal and neonatal complications for deliveries at 37-38 weeks, 39-40 weeks, and 41 weeks, focusing on the risks associated with early- and late-term deliveries. Neonatal complications were highest at 37-38 weeks, while maternal complications, primarily anemia, were more prevalent at 41 weeks. These findings suggest that deliveries closer to 39-40 weeks may offer optimal outcomes for maternal and neonatal health. By providing insights into the impact of gestational timing, this study aids clinical decision-making for safe delivery timing, potentially improving perinatal outcomes for low-risk pregnancies.

摘要

本研究调查了不同孕周的低风险初产妇及其新生儿的围产期结局。利用来自18家医院的数据,我们分析了37 - 38周、39 - 40周和41周分娩的孕产妇和新生儿并发症,重点关注早期和晚期分娩相关的风险。新生儿并发症在37 - 38周时最高,而孕产妇并发症(主要是贫血)在41周时更为普遍。这些发现表明,接近39 - 40周分娩可能为孕产妇和新生儿健康提供最佳结局。通过深入了解孕周时间的影响,本研究有助于安全分娩时间的临床决策,有可能改善低风险妊娠的围产期结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ed/11978322/4818d5eb4438/fx1.jpg

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