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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Risk factors for intrapartum acidemia - a cohort study
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Risk factors for intrapartum acidemia - a cohort study

机译：内含性酸酐的危险因素 - 队列研究

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Purpose: Birth acidemia is associated with short- and long-term morbidity in the child. Optimal intrapartum surveillance and timely interventions may reduce the incidence of these outcomes. Knowledge about conditions which increase the risks might be beneficial for optimal care. The aim with this study was to identify factors which increased the risk for lactacidemia in fetal scalp blood.Materials and methods: A secondary analysis of a cohort study performed at Karolinska University Hospital Stockholm Sweden between February 2009 and February 2011. The study population included 1070 women in labor where fetal scalp blood sampling (FBS) was performed.Results: In a univariate logistic regression analysis for lactate 4.8mmol/L at FBS, minor language barriers (OR 2.54; 95%CI 1.26-5.11), active bearing down (OR 2.46; 95%CI 1.12-5.39) and maternal height 155cm (OR 2.15; 95%CI 1.08-4.26) were found as risk factors. In a multivariate logistic regression analysis, minor language barriers (OR 2.21; 95%CI 1.05-4.67) and active pushing (OR 2.68; 95%CI 1.20-6.00) remained significant.Conclusions: Language barriers, active pushing and short stature were found to be significant risk factors for intrapartum lactacidemia. In the group with minor language problems better use of interpreters might be beneficial.
机译：目的：出生酸血症与孩子的短期和长期发病有关。最佳的intapartum监测和及时干预可能会降低这些结果的发生率。关于增加风险的条件的了解可能有利于最佳护理。本研究的目的是鉴定胎儿头皮血液中乳酸缺血性风险的因素。在2009年2月和2011年2月，在Karolinska大学医院斯德哥尔摩斯德哥尔摩斯德哥尔摩斯德哥尔摩·瑞典进行了仲裁研究的二次分析。研究人口包括1070胎儿头皮血液采样（FBS）的劳动中的妇女进行了方法。结果：在单乳酸乳酸乳酸的单失调回归分析中; 4.8mmol / L在FBS，小语言障碍（或2.54; 95％CI 1.26-5.11），有源轴承下降（或2.46; 95％CI 1.12-5.39）和母体高度＆ 155厘米（或2.15; 95％CI 1.08-4.26）作为风险因素。在多变量的物流回归分析中，轻微的语言障碍（或2.21; 95％CI 1.05-4.67）和主动推动（或2.68; 95％CI 1.20-6.00）仍然显着。结论：发现语言障碍，积极推动和矮个身材对乳酸乳酸乳酸缺血症是显着的风险因素。在小组中，具有轻微语言问题的更好地使用口译员可能是有益的。

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