Yazd Baghaeipour综合医院羊膜穿刺术并发症的横断面研究

Nasim Shirgholami, F. Abdi, M. Mazaheri, Razieh Sadat Tabatabaee
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摘要

背景:羊膜穿刺术与其他侵入性方法一样,存在流产、二次妊娠及29周胎膜早破、感染、出血等并发症。在这里,我们旨在研究孕妇羊膜穿刺术的并发症。方法:本描述性横断面研究纳入2017年到Baghaeipour诊所就诊的409名一期和二期筛查阳性或需要羊膜穿刺术的女性。通过预先准备的问卷收集数据。结果:患者平均年龄为33.49±6.51岁,平均胎龄为17.39±1.36周。有流产史132例(32.2%)。关于穿刺针穿过胎盘的频率,结果显示369人(90.2%)穿刺针没有穿过胎盘,40人(9.8%)穿刺针没有穿过胎盘。针穿过了这双鞋。羊膜穿刺术并发症发生频次分布中,胎儿死亡(2.4%)、出血(2.2%)、胎膜早破(1.7%),无感染、流产病例。在年龄、胎龄、胎数、胎盘位置、穿刺针经过、抽吸液颜色、流产史、分娩类型等方面差异无统计学意义。结论:羊膜穿刺术最常见的并发症是胎儿死亡(2.4%),其次是出血和点滴出血(2.2%)、胎膜早破(1.7%)、感染和流产。
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Amniocentesis Complications in Yazd Baghaeipour Polyclinic: A Cross-Sectional Study
Background: Amniocentesis, like other invasive methods, has complications such as abortion, premature rupture - second pregnancy and at 29 weeks of membranes, infection, bleeding, etc. Here, we aimed to study the complications of amniocentesis in pregnant women. Methods: This descriptive cross-sectional study was included 409 women with positive first and second stage screening or required amniocentesis referred to Baghaeipour Clinic in 2017. Data was collected by a pre-prepared questionnaire. Results: The mean age of the patients and gestational age was 33.49 ± 6.51 years and 17.39 ± 1.36  weeks, respectively. 132 patients (32.2%) had a history of abortion. Regarding the frequency of needle passage through the placenta, the results showed that in 369 people (90.2%) the needle did not pass through the placenta and in 40 people (9.8%). The needle has passed through the pair. Regarding the frequency distribution of amniocentesis complications, fetal death in (2.4%), bleeding in (2.2%) and PROM (1.7%) were observed in patients and no case of infection and abortion was observed. In terms of age, gestational age, gestational number, placental location, needle passage, aspirated fluid color, history of abortion and type of delivery, there were no significant differences. Conclusion: In this study the most common complication of amniocentesis was fetal death (2.4%), followed by bleeding and Spotting (2.2%), PROM (1.7%), infection and abortion, respectively.
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