Biran G, Mazor M, Shoham I, Leiberman J R, Glezerman M
Department of Obstetrics and Gynecology, Soroka Medical Center of Kupat-Holim, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Reprod Med. 1994 Jan;39(1):39-44.
Prematurity and growth retardation of the fetus are major factors affecting perinatal outcome. The purpose of this study was to compare maternal characteristics of 63 women who delivered a preterm, small-for-gestational-age (SGA) neonate with those of 63 women matched for parity and gestational age who delivered a preterm, appropriate-for-gestational-age (AGA) neonate. All women delivered at the Soroka Medical Center between January 1, 1985, and December 31, 1990. Mothers of SGA neonates were more likely than those of AGA neonates to be over the age of 35 years (P = .043), to have hypertensive disorders and oligohydramnios (P < .001), to have induced labor (P < .001) and to deliver by cesarean section (P < .001). In addition, they had a higher rate of morbidity in the puerperium (P = .015) and were more likely to have longer hospitalization (P = .002). In contrast, previous preterm deliveries were significantly more common in the AGA group than in the SGA group (P = .034). The results of this study indicate that women who deliver preterm SGA neonates belong to a special subgroup with unique characteristics in comparison to those who deliver preterm AGA neonates.
早产和胎儿生长迟缓是影响围产期结局的主要因素。本研究的目的是比较63例分娩早产小于胎龄（SGA）新生儿的女性与63例年龄和孕周匹配、分娩早产适于胎龄（AGA）新生儿的女性的母体特征。所有女性均于1985年1月1日至1990年12月31日在索罗卡医疗中心分娩。SGA新生儿的母亲比AGA新生儿的母亲更有可能年龄超过35岁（P = 0.043），患有高血压疾病和羊水过少（P < 0.001），接受引产（P < 0.001）并通过剖宫产分娩（P < 0.001）。此外，她们产褥期发病率更高（P = 0.015），住院时间更长的可能性更大（P = 0.002）。相比之下，AGA组既往早产分娩明显比SGA组更常见（P = 0.034）。本研究结果表明，与分娩早产AGA新生儿的女性相比，分娩早产SGA新生儿的女性属于具有独特特征的特殊亚组。
