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首页> 外文期刊>International Journal of Pediatrics >A Population-Based Study of Meconium Aspiration Syndrome inNeonates Born between 37 and 43 Weeks of Gestation
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A Population-Based Study of Meconium Aspiration Syndrome inNeonates Born between 37 and 43 Weeks of Gestation

机译:出生于妊娠37至43周的新生儿的胎粪吸入综合征的基于人群的研究

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The epidemiology of meconium aspiration syndrome (MAS) in term neonates is described in a population-based retrospective study of data recorded for all births from 2000 to 2007 in a French region (Burgundy). Of the 132 884 eligible term newborns, the rate of meconium-stained amniotic fluid (MSAF) was 7.93%. The prevalence of severe MAS was 0.067% in the overall population. MAS rate was 0.11% at 37-38 weeks of gestation (WG), 0.20% at 39–41 WG, and 0.49% at 42-43 WG. Factors independently associated with severe MAS were identified by a case-control study, that is, thick meconium amniotic fluid, fetal tachycardia, Apgar score ≤3 at 1 minute, and birth in a level III facility. Our results confirm the high prevalence of MSAF after 37 WG but also show the low frequency of severe MAS in a period corresponding to the new international recommendations on the management of birth with MSAF.
机译:一项基于人群的回顾性研究描述了足月新生儿的胎粪吸入综合征(MAS)的流行病学,该研究记录了法国地区(勃艮第)2000年至2007年所有出生的数据。在132 884名符合条件的足月新生儿中,胎粪污染的羊水(MSAF)率为7.93%。重症MAS的患病率为0.067%。妊娠37-38周时,MAS发生率为0.11%; 39-41 WG时,MAS发生率为0.20%; 42-43 WG时,MAS发生率为0.49%。通过病例对照研究确定了与严重MAS相关的独立因素,即胎粪浓羊水,胎儿心动过速,Apgar评分在1分钟时≤3,并在III级设施中出生。我们的结果证实了37 WG后MSAF的高流行,但也表明在与国际上有关MSAF分娩管理的新建议相对应的时期内,发生严重MAS的频率较低。

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