胎儿窘迫临床诊断对剖宫产新生儿早期预后的影响

A. Geidam, B. Bako, S. Ibrahim, M. Ashir
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引用次数: 3

摘要

目的:比较临床诊断为胎儿窘迫的剖宫产患儿(采用间歇听诊)与其他原因相似的患儿的早期新生儿结局。研究设计:采用回顾性病例对照研究设计。对于每个病例(由于临床诊断胎儿窘迫而进行的剖宫产),下一次因年龄和/或胎次匹配的原因进行的剖宫产作为对照。结果:因胎儿窘迫剖宫产率为10.07%。患儿的年龄、胎次、预约情况、有无产科学条件、手术时间、出生体重等指标与对照组比较,差异均无统计学意义(p>0.05)。与对照组相比,这些病例5分钟Apgar评分<7的可能性显著增加(OR= 4.11, 95%=1.41-12.05)。结论:胎儿窘迫的临床诊断与新生儿早期预后不良相关。
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Early Neonatal Outcome Of Babies Delivered By Cesarean Section Because Of Clinical Diagnosis Of Fetal Distress
Objective: To determine the early neonatal outcomes of babies delivered by cesarean section because of clinical diagnosis of fetal distress (using intermittent auscultation) compared to those delivered similarly because of other reasons.Study design: A retrospective case-control study design was used. For each case (cesarean section performed because of clinical diagnosis of fetal distress), the next cesarean delivery done because of other reason matched for age and/or parity was taken as a control. Results: The prevalence of cesarean section because of fetal distress was 10.07%. There was no significant differences between the cases and controls in terms of age, parity, booking status, presence of obstetrics conditions, duration of operation, and birth weight of the babies ( p>0.05). The cases were significantly more likely to have a 5-minute Apgar score of <7 compared with the controls (OR= 4.11, 95%=1.41-12.05)Conclusion: Clinical diagnosis of fetal distress is associated with adverse early neonatal outcome.
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