早产的分娩方式和新生儿结局

G. B. Nugraha, N. W. P. Anggraini
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引用次数: 0

摘要

目的:解释早产分娩方式与新生儿结局的相关性。方法:这项研究是在Moewardi Surakarta医生医院进行的回顾性队列研究,从2019年到2021年,共抽样484例病例,分为早期早产和晚期早产。进行双变量分析以确定分娩方式(MOD)与新生儿结局之间的相关性。结果:在早期早产组中,分娩方式与出生体重、APGAR评分和新生儿死亡率显著相关(p<0.05),而在晚期早产组中仅在APGAR得分和新生儿死亡率结果中发现显著相关性(p<0.05)。剖宫产早期和晚期早产的窒息率和新生儿死亡率均较低(p<0.05)。结论:早产分娩方式与新生儿结局之间存在显著相关性。通过适应症剖腹产可以显著降低窒息风险和早产导致的新生儿死亡率。关键词:分娩方式,新生儿结局,早产。摘要目的:说明剖宫产的方法与早产新生儿的预后密切相关,因此本研究可作为选择剖宫产方法的材料。方法:本研究是RSUD Moewardi Surakarta博士进行的回顾性队列研究,从2019年到2021年,共抽样484例病例,分为早期早产和晚期早产。使用卡方和Kruskal-Wallis分析进行双变量分析,以了解移植方法(MOD)与新生儿产量之间的相关性。结果:在早产早期组中,移植方法与新生儿出生体重、APGAR评分和新生儿死亡的产量有显著关系(p<0.05)。在晚期早产组中,只有外部APGAR评分与新生儿死亡之间存在显著关系(p<0.05)。凯撒早期和晚期早产的窒息和新生儿死亡人数较低(p<0.05)。关键词:移植方法,新生儿外观,早产。
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Mode of Delivery and Neonatal Outcomes in Preterm Pregnancy
Objectives: To explain that mode of delivery has a correlation with neonatal outcomes in preterm pregnancies.Methods: This study is a retrospective cohort conducted at Dr. Moewardi Surakarta Hospital, with total sampling of 484 cases divided into early preterm and late preterm from 2019 to 2021. Bivariate analysis was carried out to determine the correlation between Mode of Delivery (MOD) and neonatal outcomes.Results: In the early preterm group, mode of delivery had a significant correlation (p<0.05) with birth weight, APGAR score, and neonatal mortality, however a significant correlation (p<0.05) in the late preterm group was only found in the APGAR score and neonatal mortality outcomes. Cesarean delivery, in both early and late preterm births had a lower rate of asphyxia and neonatal death (p<0.05).Conclusion: There is a significant correlation between mode of delivery and neonatal outcomes in preterm birth. Caesarean delivery by indication can significantly reduce the risk of asphyxia, and neonatal mortality due to premature birth.Keywords: mode of delivery, neonatal outcome, preterm.AbstrakTujuan: Menjelaskan bahwa metode persalinan sangat berkorelasi dengan luaran neonatus pada kehamilan prematur, oleh karena itu penelitian ini dapat menjadi bahan pertimbangan untuk memilih metode persalinan.Metode: Penelitian ini merupakan penelitian kohort retrospektif yang dilakukan di RSUD Dr. Moewardi Surakarta, dengan total sampling sebanyak 484 kasus yang terbagi menjadi early preterm dan late preterm dari tahun 2019 hingga 2021. Analisis bivariat dilakukan dengan menggunakan analisis Chi-square dan Kruskal-Wallis untuk melihat korelasi antara metode persalinan (MOD) dan luaran neonatusHasil: Pada kelompok early preterm, metode persalinan memiliki hubungan yang signifikan (p<0,05) dengan luaran neonatus baik berat lahir, skor APGAR, dan kematian neonatus. Pada kelompok late preterm, hubungan yang signifikan (p<0,05) hanya didapatkan pada luaran skor APGAR dan kematian neonatus. Persalinan Caesar baik early maupun late preterm memiliki angka yang lebih rendah terhadap asfiksia dan kematian neonatus (p<0,05).Kata kunci: metode persalinan, luaran neonatus, preterm.
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来源期刊
Indonesian Journal of Obstetrics and Gynecology
Indonesian Journal of Obstetrics and Gynecology Medicine-Pathology and Forensic Medicine
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0.10
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审稿时长
24 weeks
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