文献综述:与胎膜早破产科急诊相关的决定因素

Tyas Ayu Anggraini, Afi Lutfiyati
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引用次数: 0

摘要

背景:胎膜早破(PROM)是产褥期的一种紧急情况,对母亲和胎儿都有严重的危害。目的:探讨妊娠期胎膜早破的相关因素。方法:对2017-2022年期间发表的文献进行系统综述。该期刊通过8个数据库(Google scholar, PubMed, Garuda Portal, Science Direct, Proquest, Crossref, National Library, Scopus)检索“产科急诊”和“胎膜早破”获得。结果:研究检索结果共收录文献1413篇,选取7篇文献进行综述。结果表明,与PROM相关的因素包括宇称(p=0.034;0.034;0.001),产妇年龄(p=0.018;0.018;0.063),吸烟暴露(p=0.044),性模式(p=0.008), ANC频率(p=0.001),贫血(p=0.001),宫颈锥化史(p=0.010), 28周宫颈长度和长度25mm (p=0.009),乳酸菌阴性(p=0.030),妊娠中期出血(p=0.020)。结论:宫颈锥化史是影响胎膜早破发生的最主要因素。
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A Literature Review: Determinants Factors Associated with Maternity Emergency of Premature Rupture Membranes
Background: Premature Rupture of Membranes (PROM) is an emergency during to the puerperium which cause serious problems for the mother and fetus. Objective: To identify the determinants factors associated with PROM in pregnant women. Methods: A systematic review of the literature on articles published in the 2017-2022 timeframe. The journal was obtained through 8 databases (Google scholar, PubMed, Garuda Portal, Science Direct, Proquest, Crossref, National Library, Scopus) using "Maternity Emergency" AND "Premature rupture of membranes". Results: The results of the study search found 1,413 articles which seven articles were selected and reviewed. The results show that the factors associated with PROM included parity (p=0.034; 0.034; 0.001), maternal age (p=0.018; 0.018; 0.063), exposure to cigarette smoke (p=0.044), sexual pattern (p=0.008), frequency of ANC (p=0.001), anemia (p=0.001), history of cervical conization (p=0.010), cervical length <25 mm at week 28 (p=0.009), negative lactobacillus (p=0.030), and second trimester bleeding (p=0.020). Conclusion: The most dominant factor associated with the incidence of PROM were history of cervical conization.
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