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妊娠期尿路感染:其与孕产妇发病率及围产期结局的关联

Urinary tract infection during pregnancy: its association with maternal morbidity and perinatal outcome.

作者信息

Schieve L A, Handler A, Hershow R, Persky V, Davis F

机构信息

School of Public Health, University of Illinois at Chicago 60680.

出版信息

Am J Public Health. 1994 Mar;84(3):405-10. doi: 10.2105/ajph.84.3.405.

Abstract

OBJECTIVES

The effects of antepartum urinary tract infection on adverse maternal and perinatal outcomes were examined. Antepartum urinary tract infection has been previously implicated as a risk factor for numerous outcomes.

METHODS

Crude and multivariable analyses were performed with a perinatal registry cohort of 25,746 mother/infant pairs.

RESULTS

Elevated risks were observed for exposure to urinary tract infection and low birthweight, prematurity, preterm low birthweight, premature labor, hypertension/preeclampsia, maternal anemia, and amnionitis. Urinary tract infection was associated with perinatal death only among subjects 20 to 29 years of age.

CONCLUSIONS

These findings underscore the importance of antepartum urine screening to identify patients at risk for adverse outcomes.

摘要

目的

研究产前尿路感染对孕产妇及围产儿不良结局的影响。产前尿路感染先前已被认为是多种结局的危险因素。

方法

对25746对母婴的围产儿登记队列进行了粗分析和多变量分析。

结果

观察到暴露于尿路感染与低出生体重、早产、早产低出生体重、早产、高血压/子痫前期、孕产妇贫血和羊膜炎的风险升高有关。仅在20至29岁的受试者中,尿路感染与围产儿死亡有关。

结论

这些发现强调了产前尿液筛查对于识别有不良结局风险患者的重要性。

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