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Obstet Gynecol：选择妊娠37-38周出生的宝宝不见得就比39-40周出生的差

2016-03-20 Mechront 译 MedSci原创

期待引产妊娠
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休斯顿贝勒医学院的Jason L. Salemi博士和同事对2005-2009年间的675,302名单胎妊娠孕妇进行了一项基于人群的研究，孕妇在妊娠37-44周分娩。根据孕妇的分娩时间和方式进行分组，包括妊娠37-38周分娩的四个亚组，还有选择期待治疗，于妊娠39-40周分娩的对照组。研究人员发现，与期待治疗，妊娠39-40周分娩的新生儿相比，妊娠37-38周选择性引产不会增加新生儿呼吸系统疾病、

休斯顿贝勒医学院的Jason L. Salemi博士和同事对2005-2009年间的675,302名单胎妊娠孕妇进行了一项基于人群的研究，孕妇在妊娠37-44周分娩。根据孕妇的分娩时间和方式进行分组，包括妊娠37-38周分娩的四个亚组，还有选择期待治疗，于妊娠39-40周分娩的对照组。

研究人员发现，与期待治疗，妊娠39-40周分娩的新生儿相比，妊娠37-38周选择性引产不会增加新生儿呼吸系统疾病、脓毒症和入住ICU的风险，不过喂养困难的风险会轻度增加（OR=1.18）。此外，选择性剖宫产组新生儿的不良结局增加13-66%。与期待治疗组相比，无论是早期引产还是剖宫产，其生存经历相似。

作者写道：“针对分娩时间和方式的问题是复杂的，并且每次妊娠本身也是独一无二的。研究结果表明，不应该拒绝所有的选择性早期分娩。”

原始出处：

Salemi, Jason L. Pathak, Elizabeth B. et al.Infant Outcomes After Elective Early-Term Delivery Compared With Expectant Management.Obstetrics & Gynecology.Post Author Corrections: March 07, 2016

Early-term delivery may not up adverse neonatal outcomes.MedicalXpress.March 14, 2016

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    2016-05-07 yhy100200

    #TET#

    0

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    2016-06-10 1249842em09(暂无昵称)

    #NEC#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2011237, encodeId=9705201123e12, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Sat May 07 17:24:00 CST 2016, time=2016-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2043901, encodeId=1bdf2043901c7, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Fri Jun 10 11:24:00 CST 2016, time=2016-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1249684, encodeId=c6f21249684d7, content=<a href='/topic/show?id=95264599452' target=_blank style='color:#2F92EE;'>#宝宝#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45994, encryptionId=95264599452, topicName=宝宝)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=杏林小小, createdTime=Mon Mar 21 01:24:00 CST 2016, time=2016-03-21, status=1, ipAttribution=)]
    2016-03-21 杏林小小

    #宝宝#

    0