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首页> 外文期刊>Journal of Perinatal Medicine >The impact of the time interval between two successive deliveries in an obstetric unit in terms of the mode of each delivery and the rate of perinatal mortality
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The impact of the time interval between two successive deliveries in an obstetric unit in terms of the mode of each delivery and the rate of perinatal mortality

机译:产科单位两次连续分娩之间的时间间隔对每次分娩的方式和围产期死亡率的影响

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摘要

Objective: To analyze the relationship of the time interval between two deliveries, done by one obstetric team, on the delivery mode of the subsequent birth; to define the length of this interval; and to evaluate this time interval as a risk factor for increased perinatal mortality in a population-based cohort. Methods: All singleton deliveries at ≥ 24 weeks'gestation in Lower Saxony, Germany, between 2001 and 2005 (a total of 317,663 deliveries including 402 cases of perinatal mortality) were analyzed. The mode of the previous and the subsequent delivery, the time interval between the two deliveries, the time of birth, the hospital volume, and the existence of an affiliated neonatal ward were investigated. Results: When the first vaginal delivery was < 45 min, there was a reduced probability that the subsequent birth would be a cesarean section. In case of a previous cesarean section, the cesarean rate of the following birth was influenced up to 165 min. In a multivariate analysis, vaginal deliveries following an earlier vaginal birth and occurring within < 45 min were associated with increased perinatal mortality. Repeated cesarean sections within < 165 min were associated with increased perinatal mortality when occurring at night or on weekends. Conclusion: A short time interval between two deliveries in an obstetric unit constitutes an independent risk factor for perinatal mortality.
机译:目的:分析一个产科小组两次分娩之间的时间间隔与后续分娩方式的关系;定义此间隔的长度;并评估此时间间隔作为以人群为基础的队列中围产期死亡率增加的危险因素。方法:分析2001年至2005年德国下萨克森州≥24周妊娠的所有单胎分娩(共分娩317,663例,其中包括402例围产期死亡)。研究了之前和之后分娩的方式,两次分娩之间的时间间隔,出生时间,住院量以及附属新生儿病房的存在。结果:当第一次阴道分娩时间小于45分钟时,随后分娩是剖宫产的可能性降低。如果是前一次剖宫产,那么在接下来的分娩中剖宫产的速度将受到影响,持续时间长达165分钟。在多变量分析中,较早的阴道分娩和<45分钟内发生的阴道分娩与围产期死亡率增加有关。 <165分钟内重复剖腹产与夜间或周末发生的围产期死亡率增加有关。结论:产科两次分娩之间的时间间隔短是围产期死亡的独立危险因素。

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