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首页> 外文期刊>International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics >Factors associated with neonatal outcomes in preterm prelabor rupture of membranes after cervical cerclage
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Factors associated with neonatal outcomes in preterm prelabor rupture of membranes after cervical cerclage

机译：与宫颈塞尔格宫颈膜预防膜的预先膜破裂相关的因素

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Abstract Objective To evaluate risk factors associated with neonatal morbidity and mortality in pregnant women with preterm prelabor rupture of membranes ( PPROM ) after cervical cerclage. Methods A retrospective cohort study of singleton pregnancies with cervical insufficiency was conducted at a tertiary referral center in Taiwan from May 1, 2000 to July 31, 2017. Patients with PPROM after cerclage and delivered between 20 0/7?days and 36 6/7?days were recruited. Logistic and linear regression analyses were performed to evaluate various risk factors. Results Overall, 109 women were included. Mothers with a higher white blood cell count, a higher C‐reactive protein ( CRP ) level, a lower amniotic fluid index, and chorioamnionitis were significantly associated with neonatal morbidity. Neonatal mortality was related to oligohydramnios (adjusted odds ratio [ aOR ] 2.98, 95% confidence interval [ CI ] 1.11–8.01) and chorioamnionitis ( aOR 3.17, 95% CI 1.03–9.69). An elevated CRP level was associated with a shorter PPROM to delivery latency (adjusted B ?16.64, 95% CI ?29.88 to ?3.41), but cerclage retention more than 12?hours after PPROM was associated with a prolonged latency (adjusted B 17.21, 95% CI 3.25–31.18). Conclusion Oligohydramnios and chorioamnionitis are associated with neonatal mortality.
机译：摘要目的评价宫颈塞尔宫内膜（PPROM）早产妇女对新生儿发病率和死亡率相关的危险因素。方法采用2000年5月1日至2017年5月1日至7月31日，台湾的第三次推荐中心进行了宫颈功能不全的回顾性队列研究。CERCRAGE后PPROM患者，在20 0/7的患者介于36/7 ？招募日子。进行逻辑和线性回归分析来评估各种风险因素。结果总体而言，包括109名妇女。母亲具有较高的白细胞计数，较高的C反应蛋白（CRP）水平，羊水液指数和绒毛膜炎的较高，与新生儿发病率明显相关。新生儿死亡率与寡酒醛酰胺有关（调整后的差距[AOR] 2.98,95％置信区间[CI] 1.11-8.01）和绒毛炎（AOR 3.17,95％CI 1.03-9.69）。升高的CRP水平与较短的PPROM与递送等待时间相关联（调整B？16.64,95％CI→29.88至β3.41），但PPROM与延长延迟延长后的12小时超过12小时（调整B 17.21， 95％CI 3.25-31.18）。结论寡盐和绒毛膜炎与新生儿死亡率有关。

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