Number of prenatal visits and pregnancy outcomes in low-risk women
Number of prenatal visits and pregnancy outcomes in low-risk women
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DOI：
10.1038/jp.2015.183
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发表时间：
2016-03-01
影响因子：
2.9
通讯作者：
Cahill, A. G.
中科院分区：
文献类型：
--
作者：
Carter, E. B.;Tuuli, M. G.;Cahill, A. G.
目的：我们调查了产前检查次数（PNV）和妊娠结局之间的关系。研究设计：一个回顾性队列的12092个连续的，无并发症的足月分娩。排除标准包括未知或妊娠晚期，预先存在的医疗条件和常见的妊娠并发症。患者10。主要结局为新生儿综合指标，包括新生儿入住重症监护室、低APGAR评分（< 7）、低脐带pH值（< 7.10）和新生儿死亡。次要结局包括复合结局的组成部分以及阴道分娩、引产和剖宫产。结果：在符合纳入标准的7256例患者中，30%（N=2163）的PNV>10例，其余70%（N=5093）的PNV> 10例，更有可能进行引产和剖宫产。PNV>= 10的低风险妇女有较高的妊娠干预率，但新生儿结局无改善。
OBJECTIVE: We investigated the association between number of prenatal visits (PNV) and pregnancy outcomes.STUDY DESIGN: A retrospective cohort of 12 092 consecutive, uncomplicated term births was included. Exclusion criteria included unknown or third trimester pregnancy dating, pre-existing medical conditions and common pregnancy complications. Patients with 10. The primary outcome was a neonatal composite including neonatal intensive care unit admission, low APGAR score (< 7), low umbilical cord pH (< 7.10) and neonatal demise. Secondary outcomes included components of the composite as well as vaginal delivery, induction and cesarean delivery. Logistic regression was used to adjust for potential confounders.RESULT: Of 7256 patients in the cohort meeting inclusion criteria, 30% (N=2163) had >10 PNV and the remaining 70% (N=5093) had 10 PNV were more likely to undergo induction of labor and cesarean delivery.CONCLUSION: Low-risk women with >= 10 PNV had higher rates of pregnancy interventions without improvement in neonatal outcomes.