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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >The association between obstetrical history and preterm birth in women with uterine anomalies
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The association between obstetrical history and preterm birth in women with uterine anomalies

机译:子宫异常妇女产科史与早产的关联

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Objective: To estimate the association between obstetric history and preterm birth in women with uterine anomalies. Methods: This was a retrospective cohort study of women with uterine anomalies managed by one maternal-fetal medicine practice from 2005 to 2016. Women were separated into three groups based on their most recent pregnancy outcome: preterm birth <37 weeks, nulliparous, and term birth. Delivery outcomes were compared across the three groups, with the primary outcome being preterm birth <37 weeks. A subgroup analysis was performed in women with major uterine anomalies (unicornuate, bicornuate, and didelphys). Results: A total of 283 women with uterine anomalies were included. Preterm birth <37 weeks was 60.4% in women with prior preterm birth versus 18.2% in nulliparous women, versus 15.8% in women with a prior term birth (p<.001). The difference between nulliparous women and women with a prior term birth was not significant (p = .635). Among the 118 women with major uterine anomalies, the likelihood of preterm birth was also highest in the prior preterm birth group (71.4 versus 26.1 versus 25.0%, p<.001), and the difference between nulliparous women and women with a prior term birth was not significant (p = .906). Conclusions: In women with uterine abnormalities, a prior preterm birth is significantly associated with recurrent preterm birth. However, a prior term birth does not lower the risk of preterm birth as compared to nulliparous women.
机译:目的:估算子宫异常妇女产科史与早产的关联。方法:这是从2005年到2016年从一个母体医学实践管理的子宫异常妇女的回顾性队列研究。根据他们最近的妊娠结果,妇女分为三个群体:早产<37周,无污染和术语出生。在三个群体中比较了递送结果,主要结果是早产<37周。在主要子宫异常(Unicorn,Bicornuate和DidElphys)中进行亚组分析。结果:共用了283名患有子宫异常的女性。早产<37周的早产儿为60.4%,患有早产比的妇女与18.2%的少量妇女,与前期出生的女性15.8%(P <.001)。含有前期出生的无烟妇女和女性的差异并不重要(p = .635)。在118名具有主要子宫异常的妇女中,早产出生群中早产的可能性也是最高的(71.4与26.1与25.0%,P <.001),以及患有先前出生的禁止妇女和妇女的差异不显着(p = .906)。结论:在子宫异常的妇女中,预早产具有与复发性早产有显着相关。然而,与无烟妇女相比,预先出生的出生并没有降低早产的风险。

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