孕早期绒毛膜下血肿的产科结局

Pooja Bairwa, Nupur Hooja, Pawan Agrawal, Babita Panwar, Krupa Verma, Mónika
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引用次数: 0

摘要

背景:孕早期先兆流产可能是由绒毛膜下血肿(SCH)等多种原因引起的。SCH的存在对妊娠结局有几个不利影响。目的:确定妊娠前三个月发现的SCH对不良妊娠结局的影响。材料和方法:这是一项前瞻性研究,纳入了151名患有或不患有绒毛膜下血肿的女性。所有妇女都被跟踪到分娩,以观察怀孕的结果。结果:在两组各151名妇女中,110名(72.8%)有SCH, 118名(78.1%)没有SCH的妇女生下了一个活的新生儿。妊娠损失(自然流产、IUFD和死产)的相对风险对于有和没有妊娠损失的妇女为1.22 (95% CI 0.81 - 1.82;p值= 0.33)。有和没有SCH的孕妇早产率分别为27%和11.5% (p = 0.004)。结论:单纯存在SCH并不会增加流产的风险,但会增加IUGR、早产、产前出血的发生率。
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Obstetrical outcome of subchorionic hematoma in first trimester
Background: Threatened abortion during the first trimester of pregnancy may be due to many reasons including subchorionic haematoma (SCH).The presence of SCH can have several adverse effects on pregnancy outcome. AIM: To determine the impact of SCH identified during the first trimester of pregnancy on adverse pregnancy outcomes. Material and Methods: This was a prospective study conducted by enrolling 151 women each with and without Subchorionic Haematoma. All women were followed until delivery to observe the outcome of the pregnancy. Results: Out of 151 women in each of the two groups- 110 (72.8%) women with SCH and 118 (78.1%) women without SCH gave birth to a live neonate. The relative risk of pregnancy wastage (spontaneous abortion, IUFD & stillbirth) for the women with SCH and without SCH was 1.22 (95% CI 0.81 - 1.82; p-value = 0.33). 27% and 11.5% of pregnant women with and without SCH had a preterm delivery (p = 0.004). Conclusion- The mere presence of SCH did not increase the risk of pregnancy loss but there was increased incidence of IUGR,preterm bith,antepartum haemorrhage.
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