1. 高龄瘢痕子宫再妊娠孕产妇剖宫产术终止妊娠直接病因 及预后影响因素分析.
- Author
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王教香, 曾 勇, 张 林, 姜 涛, and 陈克明
- Subjects
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PREMATURE rupture of fetal membranes , *ABORTION , *CESAREAN section , *OLDER women , *PREGNANT women , *INCOME - Abstract
Objective: To explore the analysis of the direct etiology and prognostic factors of caesarean section termination of pregnancy in elderly women with cicatricial uterus repregnancy. Methods: Retrospective analysis was performed on 400 pregnant women with cicatricial uterus who were admitted to our hospital from January 2016 to October 2020. According to whether the pregnancy was terminated or not, 400 pregnant women were divided into the termination group (200 cases) and the non-termination group (200 cases). In addition, 200 pregnant women with termination of pregnancy were followed up for 2 years, and were divided into successful pregnancy group (150 cases) and pregnancy termination group (50 cases). Spearman test was used for correlation analysis. The logistic regression model was adopted for regression analysis. Results: Among the 200 pregnant women with termination of pregnancy, 60(30.00 %) cases of scar pregnancy, 13 (6.50 %) cases of stillbirth, 25 (12.50 %) cases of fetal malformation, 81 (40.50 %) cases of preeclampsia, 11 (5.50 %) cases of premature rupture of membranes, 10(5.00 %) cases of pregnancy accidents. Pregnancy after termination of pregnancy was not related to education level, fixed occupation or family monthly income(P>0.05). It was related to age, gestational time, delivery time, cesarean section operation history and cause of termination of pregnancy(P<0.05). Pregnancy was closely related to age, gestational number, delivery number, cesarean section history and cause of termination of pregnancy(P<0.05). The results of multivariate analysis showed that age, gestational number, delivery number, cesarean section history and the cause of termination of pregnancy were independent risk factors(P<0.05). Conclusion: The main causes of termination of pregnancy in elderly women with cicatricial uterus are cicatricial pregnancy, stillbirth, fetal malformation, preeclampsia, premature rupture of membranes, and pregnancy accidents. Age, number of pregnancies, number of births, history of cesarean section and cause of termination of pregnancy are independent risk factors affecting prognosis of repregnancy in elderly pregnant women with cicatricial uterus. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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