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首页> 美国卫生研究院文献>ISRN Obstetrics and Gynecology >An Analysis of the NSW Midwives Data Collection over an 11-Year Period to Determine the Risks to the Mother and the Neonate of Induced Delivery for Non-Obstetric Indication at Term
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An Analysis of the NSW Midwives Data Collection over an 11-Year Period to Determine the Risks to the Mother and the Neonate of Induced Delivery for Non-Obstetric Indication at Term

机译：对新南威尔士州助产士11年期间数据收集的分析以确定足月非产科适应症导致分娩的母亲和新生儿的风险

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Objective. To determine the risks of induced term delivery to the mother and neonate at different gestational ages in the absence of obstetric indications. Study Design. All deliveries in New South Wales (NSW) between 1998 and 2008 were reviewed from the MDC. Uncomplicated pregnancies which were induced for non-obstetric reasons after 37 completed weeks were reviewed. This was a retrospective, historical cohort study, and both maternal and neonatal outcomes were analysed and compared between different gestational age groups. Results. An analysis of the data shows that induction of labour after 37 completed weeks exposes the fetus and mother to different levels of risk at different gestations. Conclusion. In an uncomplicated pregnancy, induction of labour is associated with the highest rate of neonatal complication at 37 weeks as compared with rates at later gestations. With each ensuing week, the neonatal outcome improves. At 40 weeks the likelihood of neonatal intensive care admission, low Apgar scores, and perinatal death rate is at its lowest, and then there is a slight but not significant rise after 41 weeks. The likelihood of caesarean section is the lowest when inductions are carried out at 39 weeks and is the highest at 41 weeks and over.
机译：目的。在没有产科适应症的情况下，确定在不同胎龄下向母亲和新生儿进行足月分娩的风险。学习规划。 MDC审查了1998年至2008年之间在新南威尔士（NSW）的所有交货。回顾了37个完整星期后因非产科原因而诱发的单纯妊娠。这是一项回顾性，历史性队列研究，对不同孕龄的母亲和新生儿的结局进行了分析和比较。结果。对数据的分析表明，在完成37周后引产会使胎儿和母亲在不同的妊娠期处于不同的风险水平。结论。在简单的妊娠中，引产与37周时的新生儿并发症发生率最高，而后期妊娠时发生率最高。随后的每个星期，新生儿的结局都会改善。在40周时，接受新生儿重症监护，Apgar评分低和围产期死亡率最低的可能性，然后在41周后有轻微但不明显的升高。引产在39周时剖腹产的可能性最低，在41周以上时最高。

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