硝苯地平治疗早产威胁的有效性

Sadia Ali, Rabeea Sadaf, Bushra Rauf, Kulsoom Iqbal, Umaiyma Farhad, Nasreen Kishwar
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引用次数: 0

摘要

背景:早产是全世界围产期发病率和死亡率最重要和最主要的原因之一。应采取策略降低早产和分娩的发生率,以避免对胎儿和新生儿造成严重后果。目的评估硝苯地平治疗自发性早产的效果。材料与方法:这是一项随机对照试验,于 2022 年 6 月 1 日至 2022 年 11 月 30 日在 Hayatabad 综合医院妇产科进行。共纳入了 50 名单胎妊娠孕妇,这些孕妇的 LMP 值在妊娠 28 至 34 周之间,有早产的危险:结果:共有 10 名(20.0%)患者的分娩延迟时间小于 2 天,而 40 名(80.0%)患者的分娩延迟时间大于 2 天。结论本研究表明,硝苯地平可成功延迟自发性早产超过 48 小时,从而为宫内转运和皮质类固醇作用提供了充足的时间:硝苯地平 早产 催产素
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Effectiveness of Nifedipine in the Treatment of Threathened Preterm Labour
Background: Preterm birth is one of the most important and major causes of perinatal morbidity and mortality wordwide. Strategies should be adopted to decrease the incidence of pre-term labour and delivery to avoid the associated drastic fetal and neonatal consequences. Objective: To evaluate the effectiveness of Nifedipine in the treatment of spontaneous preterm labour. Material and Methods: This is a Randomised control trial which was conducted in the department of Obstetrics and Gynecology, Hayatabad Medical Complex, from 1st June 2022 to 30th November 2022. Total 50 pregnant women with singleton pregnancy with threatened preterm labor between 28 and 34 weeks of pregnancy on LMP were included.Results: Total 10 (20.0%) patients had a delay in delivery up to < 2 days while 40 (80.0%) patients had a delay in their deliveries for > 2 days, therefore, effectiveness of Nifedipine in the treatment of spontaneous threatened preterm labor was achieved in 40 (80%) patients in terms of delay in their deliveries. Conclusion: This study demonstrated that Nifedipine successfully delayed spontaneous preterm labor for > 48 hours and thus gave sufficient time for in utero transfer and corticosteroid effect.Keywords: Nifedipine, Preterm labor, Tocolysis.
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