Emergency caesarean section in low risk nulliparous women
Emergency caesarean section in low risk nulliparous women
复制标题
DOI：
10.3109/01443615.2012.689027
复制
发表时间：
2012-08-01
影响因子：
1.3
通讯作者：
Kjaergaard, H.
中科院分区：
文献类型：
--
作者：
Haerskjold, A.;Hegaard, H. K.;Kjaergaard, H.
剖腹产（CS）的发生率不断上升，包括无产妇的紧急剖腹产（ECS），这令人关切。以前的CS可能对将来的怀孕和分娩有影响。本文描述了低风险无产者队列中ECS的患病率和适应症，并确定了与ECS相关的母体和胎儿危险因素。我们纳入了2,748名低风险女性，其中8.7%患有ECS。进展失败（FTP）占ECS的68.3%，30.4%是由于疑似胎儿窘迫（SFD）而进行的。进行多因素logistic回归分析以估计危险因素与ECS适应症之间的关系。怀孕期间吸烟（OR 2.33; CI 1.18-4.61）和BMI >= 30 （OR 2.87, CI 1.34-6.16）与SFD所致ECS风险增加相关。出生体重(BW) >= 4000 （OR 2.95; CI 1.92-4.53）和怀孕期间戒烟（OR 2.02; CI 1.26-3.20）与FTP所致ECS风险增加相关。
The rising incidence of caesarean section (CS), including emergency caesarean section (ECS) in nulliparas is of concern. Previous CS may have implications for future pregnancies and deliveries. This article describes the prevalence and indications for ECS in a cohort of low risk nulliparas and identifies maternal and fetal risk factors associated with ECS. We included 2,748 low-risk women and 8.7% had ECS. Failure-to-progress (FTP) accounted for 68.3% of the ECS and 30.4% were performed due to suspected fetal distress (SFD). Multivariate logistic regression analyses were done to estimate the association between risk factors and indications for ECS. Smoking during pregnancy (OR 2.33; CI 1.18-4.61) and BMI >= 30 (OR 2.87, CI 1.34-6.16) were associated with increased risk of ECS due to SFD. Birth weight (BW) >= 4,000 (OR 2.95; CI 1.92-4.53) and smoking cessation during pregnancy (OR 2.02; CI 1.26-3.20) were associated with increased risk of ECS due to FTP.