羊水过少对母胎结局的前瞻性比较观察研究

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摘要

背景:羊水过少严重威胁母体和胎儿的健康。这是一种临床病症,超声测量羊水指数(AFI)小于5厘米。方法,资料:基于医院的前瞻性比较观察研究。本研究旨在观察羊水过少的妊娠结局。研究组- 100例AFI患者;5厘米。对照组:2021年8月1日至2022年7月31日在妇产科学医院妇产科收治的AFI 5 - 24 cm患者100例。对所有入选女性进行USG并计算AFI。这些妇女被跟踪到产褥期第7天。数据分析采用IBM SPSS version 23。采用卡方检验对变量进行分析,p-<0.05认为具有统计学意义。结果:本研究结果显示,羊水过少组剖宫产率明显高于对照组(分别为70%和39%)。胎儿窘迫、粪污液、1分钟和5分钟低Apgar评分、低出生体重、入住新生儿重症监护病房和新生儿早期死亡显著增加。结论:羊水过少是一种高危妊娠,羊水过少患者应做好适当的产前监护、严格的胎儿监护和产时护理,以获得较好的胎母结局
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A Prospective Comparative Observational Study on Maternal and Fetal Outcome in Oligohydramnios
Background: The health of the mother and foetus is threatened by oligohydramnios. It is a clinical conditionidentified by a sonographically measured amniotic fluid index (AFI) of less than 5 cm.Method & Materials: Hospital-based based prospective comparative Observational Study. This study wasconducted to observe the outcome of pregnancy in oligohydramnios. Study group– 100 cases with AFI < 5 cm.Control group- 100 cases with AFI 5cm to 24 cm, admitted to Dept. of Obstetrics and Gynaecology in TMCH from1stAugust 2021 to 31 July 2022. For all selected women, USG was done and AFI was calculated. These womenwere followed till day 7 of puerperium. Data were analyzed using IBM SPSS version 23. The variable was analyzedusing a chi-square test p-<0.05 was considered statistically significant.Results: The results of the present study revealed that, the rate of the Caesarian section was significantly higher inthe oligohydramnios group compared to the control group (70% vs. 39% respectively). There was a significantlyincreased in Fetal distress, meconium-stained liquor, low Apgar score at 1 and 5 min, low birth weight, admissionto NICU, and early neonatal death.Conclusion: In conclusion, oligohydramnios is a high-risk pregnancy, and patients with oligohydramnios shouldexpect proper antepartum, rigorous foetal surveillance, and intrapartum care for a better feto-maternal outcome
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