亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Maternal and Perinatal Outcomes in Singleton Nulliparous Spontaneous Preterm Birth with and without Preterm Premature Rupture of Membranes—A National Population-Based Cohort Study

医学 产科 胎膜早破 优势比 人口 胎龄 妊娠期糖尿病 早产 膜破裂 怀孕 妇科 妊娠期 内科学 遗传学 生物 环境卫生
作者
Tansim Akhter,Susanne Hesselman,Linda Lindström,Ove Axelssön,Inger Sundström Poromaa
出处
期刊:American Journal of Perinatology [Thieme Medical Publishers (Germany)]
被引量:4
标识
DOI:10.1055/a-1973-7482
摘要

Objective Preterm birth (PTB, birth before 37 gestational weeks) is the leading cause of neonatal death and a major challenge for obstetric and neonatal care. About two-thirds of PTBs are spontaneous PTB (sPTB), of which approximately 30% start with preterm premature rupture of membranes (PPROM). The aim of the study was to investigate risk factors and maternal and perinatal outcomes in sPTB with and without PPROM. Study Design This is a national population-based cohort study including all singleton pregnancies in nulliparous women with spontaneous onset of labor and vaginal births (n = 266,968) registered in the Swedish Medical Birth Register 2005 to 2014. sPTB with PPROM (sPTB-PPROM) and sPTB without PPROM were compared regarding risk factors and maternal and perinatal outcomes. Logistic regression was used to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Adjustments were made for maternal age, body mass index, country of birth, smoking, chronic hypertension, pregestational and gestational diabetes, and gestational length. Results sPTB-PPROM (n = 5,037), compared with sPTB without PPROM (n = 8,426), was more common in women with previous spontaneous abortions, prepregnancy urinary tract infections, chronic hypertension, and gestational diabetes and had a higher risk of postpartum endometritis (aOR: 2.78, 95% CI: 1.55–5.00). Infants born to women with sPTB-PPROM had a lower risk of birth asphyxia (aOR: 0.60, 95% CI: 0.43–0.83), respiratory distress syndrome (aOR: 0.86, 95% CI: 0.70–1.00), retinopathy of prematurity (aOR: 0.93, 95% CI: 0.92–0.94), necrotizing enterocolitis (aOR: 0.95, 95% CI: 0.94–0.96), and higher risk of hypoglycemia (aOR: 1.14, 95% CI: 1.01–1.28), and hyperbilirubinemia (aOR: 1.28, 95% CI: 1.19–1.38) compared with infants born to sPTB without PPROM. Conclusion Our findings of risk factors and distinct differences in adverse outcomes after sPTB-PPROM compared with sPTB without PPROM are of vital importance and might serve as a basis when elaborating programs for the prevention and management of PPROM. Key Points
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
19秒前
灵筠完成签到,获得积分10
45秒前
清爽乐菱完成签到,获得积分10
57秒前
小神仙完成签到 ,获得积分10
58秒前
斯文败类应助科研通管家采纳,获得10
1分钟前
MchemG应助科研通管家采纳,获得30
1分钟前
大模型应助科研通管家采纳,获得10
1分钟前
科研通AI2S应助科研通管家采纳,获得30
1分钟前
沙海沉戈完成签到,获得积分0
1分钟前
科研通AI5应助悟空采纳,获得10
1分钟前
黄筱妍发布了新的文献求助10
2分钟前
黄筱妍完成签到,获得积分20
2分钟前
2分钟前
2分钟前
璐璐侠发布了新的文献求助10
2分钟前
2分钟前
璐璐侠完成签到,获得积分10
2分钟前
科研通AI2S应助科研通管家采纳,获得10
3分钟前
共享精神应助科研通管家采纳,获得10
3分钟前
3分钟前
文艺百褶裙完成签到 ,获得积分10
3分钟前
JamesPei应助小余同学采纳,获得10
4分钟前
紫熊发布了新的文献求助20
4分钟前
4分钟前
小余同学发布了新的文献求助10
4分钟前
4分钟前
mama完成签到 ,获得积分10
4分钟前
文献搬运工完成签到 ,获得积分10
4分钟前
咕咕发布了新的文献求助10
4分钟前
咕咕发布了新的文献求助10
5分钟前
MchemG应助科研通管家采纳,获得10
5分钟前
科研通AI2S应助科研通管家采纳,获得10
5分钟前
5分钟前
紫熊完成签到,获得积分10
6分钟前
6分钟前
我的文献呢完成签到 ,获得积分10
6分钟前
李爱国应助郭伟采纳,获得10
6分钟前
6分钟前
郭伟发布了新的文献求助10
7分钟前
7分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968504
求助须知:如何正确求助?哪些是违规求助? 3513278
关于积分的说明 11167247
捐赠科研通 3248678
什么是DOI,文献DOI怎么找? 1794409
邀请新用户注册赠送积分活动 875030
科研通“疑难数据库(出版商)”最低求助积分说明 804638