Hydramnios and small for gestational age: prevalence and clinical significance

Hydramnios and small for gestational age: prevalence and clinical significance
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DOI:
10.1034/j.1600-0412.2000.079001031.x
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发表时间:
2000-01-01
影响因子:
4.3
通讯作者:
Mazor, M
Mazor, M
中科院分区:
医学2区
文献类型:
--
作者:
Furman, B;Erez, O;Mazor, M

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目标。探讨小胎龄及羊水合并产科病理对围生期并发症、产时发病率及新生儿预后不良的预测意义。研究人群包括研究期间67,806例单胎分娩中152例胎龄小羊水新生儿(0.22%)。我们将152例胎龄小的羊水新生儿(羊水/胎龄小)与1%胎龄正常的羊水新生儿(正常羊水/胎龄合适)(582例)进行比较。对整个队列以及排除所有先天性畸形病例的队列进行分析。羊水/小胎龄组先天性异常发生率明显高于正常胎龄组/合适胎龄组(25% vs. 2.4%, p
Objective. To investigate the clinical significance of combined obstetrical pathology of small for gestational age and hydramnios as a predictor of peripartum complications, intrapartum morbidity and poor neonatal outcome.Methods. The study population consisted of 152 small for gestational age neonates with hydramnios out of 67,806 singleton deliveries during the study period (0.22%). We compared the 152 small for gestational age neonates with hydramnios (hydramnios/small for gestational age) to a sample of 1% of the appropriate for gestational age neonates with normal amniotic fluid (normal amniotic fluid/appropriate for gestational age) (582 cases). Analyses were conducted for the entire cohort as well as for the cohort in which all cases with congenital malformations were excluded.Results. There was a significantly higher rate of congenital anomalies in the hydramnios/small for gestational age group compared with the normal amniotic fluid/appropriate for gestational age group (25% vs. 2.4%, p