Multivariate logistic regression analysis of premature rupture of membranes in cesarean scar pregnancy

Qi Yan; Zhang Dan

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Multivariate logistic regression analysis of premature rupture of membranes in cesarean scar pregnancy

更新时间：2021-08-23

- Multivariate logistic regression analysis of premature rupture of membranes in cesarean scar pregnancy
- Health Medicine Research and Practice Vol. 17, Issue 6, Pages: 41-44(2020)
- 作者机构：
  
  沈阳市妇婴医院产科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R714.433
- Published：2020，
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[1]戚妍,张丹.瘢痕子宫再次妊娠发生胎膜早破多因素Logistic回归分析[J].保健医学研究与实践,2020,17(06):41-44.

Qi Yan, Zhang Dan. Multivariate logistic regression analysis of premature rupture of membranes in cesarean scar pregnancy. [J]. Health Medicine Research and Practice 17(6):41-44(2020)
[1]戚妍,张丹.瘢痕子宫再次妊娠发生胎膜早破多因素Logistic回归分析[J].保健医学研究与实践,2020,17(06):41-44. DOI：

Qi Yan, Zhang Dan. Multivariate logistic regression analysis of premature rupture of membranes in cesarean scar pregnancy. [J]. Health Medicine Research and Practice 17(6):41-44(2020) DOI：

摘要

目的探讨瘢痕子宫再次妊娠发生胎膜早破（PROM）的危险因素及PROM的妊娠结局。方法回顾性分析辽宁省某医院2016年3月—2019年3月收治的93例瘢痕子宫再次妊娠产妇的临床资料

按照是否发生PROM分为PROM组（n=45）和无PROM组（n=48）

对可能造成PROM的因素进行非条件组间单因素和多因素Logistic回归分析

同时比较PROM组和无PROM组妊娠结局。结果 ROM组产妇生殖道感染、多胎妊娠、胎位异常、妊高症、妊糖症、前置胎盘、贫血发生率高于无PROM组

存在流产引产史比例高于无PROM组

差异有统计学意义（P<0.05）;2组产妇羊水过多、宫颈功能不全发生率比较

差异无统计学意义（P>0.05）。多因素非条件Logistic回归分析结果显示

瘢痕子宫再次妊娠发生PROM的危险因素按影响程度由大到小依次为生殖道感染、前置胎盘、多胎妊娠、贫血、胎位异常、流产或引产史（P<0.05）。PROM组产妇剖宫产率及胎儿窘迫、新生儿肺炎发生率高于无PROM组

且新生儿评分低于无PROM组

差异均有统计学意义（P<0.05）;2组新生儿窒息发生率比较

差异无统计学意义（P>0.05）。结论生殖道感染、多胎妊娠、胎位异常、流产或引产史、前置胎盘及贫血为影响瘢痕子宫再次妊娠发生PROM的独立危险因素;瘢痕子宫再次妊娠PROM发生不良妊娠结局概率较大

临床需对合并相关危险因素的产妇进行严密监测及干预

以改善母婴结局。

Abstract

Objective To investigate the risk factors for premature rupture of membranes（PROM） in cesarean scar pregnancy（CSP） and the pregnancy outcome of PROM. Methods The clinical data of 93 cases of CSP ad-mitted to a hospital in Liaoning Province from March 2016 to March 2019

divided into PROM group（n=45） and non-PROM group（n=48） according to whether PROM occurred or not

were retrospectively analyzed. Lo-gistic regression analysis was performed to compare pregnancy outcomes in the PROM group and the non-PROM group. Results The incidence of reproductive tract infections

multiple pregnancies

fetal position abnormalities

gesta-tional hypertension

gestational diabetes mellitus

placenta praevia

and combined anemia was higher in the PROM group than in the non-PROM group

the proportion of women with a history of miscarriage or induction of labor in the PROM group is higher than that in the non-PROM group with statistical significance（P<0.05）; the difference in the incidence of excessive amniotic fluid and cervical insufficiency in the two groups was not statistically significant（P>0.05）. The results of multifactorial unconditional logistic regression analysis showed that the risk factors for PROM in CSP were

in descending order

reproductive tract infection

placenta praevia

multiple pregnancy

combined anemia

fetal position abnormality

and history of miscarriage or induction of labor（P<0.05）. The neonatal score in the PROM group was lower than that in the non-PROM group

and the difference was statistically significant（P<0.05）; the difference in the incidence of neonatal asphyxia was not statistically significant between the 2 groups（P>0.05）. Conclusion Reproductive tract infection

multiple pregnancy

fetal position abnormality

history of miscarriage or induction of labor

placenta praevia

and anemia are the independent risk factors for PROM in CSP.

关键词

瘢痕子宫再次妊娠胎膜早破妊娠结局独立危险因素

Keywords

Scarred uterusCesarean scar pregnancyPremature rupture of membranesPregnancy outcomeIndependent risk factors

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Related Institution

Department of Pelvic Floor Rehabilitation, the 7th People’s Hospital of Zhengzhou

Department of Obstetrics and Gynecology, the 7th People’s Hospital of Zhengzhou

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Department of Obstetrics and Gynecology, Xiamen Humanity Hospital Affiliated to Fujian Medical University

Department of Gynecology, Zhengzhou Maternal and Child Health Hospital

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