Placental abruption and perinatal mortality in the United States

Placental abruption and perinatal mortality in the United States
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DOI:
10.1093/aje/153.4.332
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发表时间:
2001-02-15
影响因子:
5
通讯作者:
Wilcox, AJ
Wilcox, AJ
中科院分区:
医学2区
文献类型:
--
作者:
Ananth, CV;Wilcox, AJ

文献摘要

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胎盘早剥是一种罕见的产科并发症,与高围产儿死亡率有关。作者探讨了妊娠与胎儿生长受限、早产和围生儿存活率的关系。该研究基于1995年和1996年在美国分娩的7,508,655名单胎婴儿。每1 000名新生儿中有6.5人发生早夭。围产期死亡率为每1 000名分娩中有119名孕妇死亡,而所有其他分娩的围产期死亡率为每1 000名分娩中有8.2名死亡。预防性流产的高死亡率部分是由于其与早产密切相关;预防性流产的围产期死亡中有55%是由于早产。此外,体重最低百分位数的婴儿(
Placental abruption is an uncommon obstetric complication associated with high perinatal mortality rates. The authors explored the associations of abruption with fetal growth restriction, preterm delivery, and perinatal survival. The study was based on 7,508,655 singleton births delivered in 1995 and 1996 in the United States. Abruption was recorded in 6.5 per 1,000 births. Perinatal mortality was 119 per 1,000 births with abruption compared with 8.2 per 1,000 among all other births. The high mortality with abruption was due, in part, to its strong association with preterm delivery; 55% of the excess perinatal deaths with abruption were due to early delivery. Furthermore, babies in the lowest centile of weight (