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HCV and Pregnancy: Prevalence, Risk Factors, and Pregnancy Outcome in North Indian Population: A Case–Control Study

机译:HCV和妊娠:北印度人口的患病率,危险因素和妊娠结局:病例对照研究

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Objectives The study was carried out to investigate the prevalence, risk factors, and Pregnancy outcome in anti-HCV-positives pregnant women admitted for delivery in the Department of Obstetrics & Gynecology of Guru Gobind Singh Medical College and Hospital, Faridkot between January 2010 and January 2013. Setting Department of obstetrics and Gynaecology of GGS Medical College and Hospital, Faridkot. Material and Methods A case–control study design was selected for the study. A total of 1412 pregnant women presenting in the labor room of our hospital between January 2010 and January 2013 were subjected to anti-HCV testing by third generation ELISA. Age, parity, and gestational age-matched controls were taken from the women delivering during the same time frame who tested negative for hepatitis C. All the subjects and controls were non-reactive for HIV and HBsAg as well. Risk factors and pregnancy outcome were compared with the control group. Approval was taken from ethic committee of the institute. The women who consented to participate in the study were evaluated on the basis of a questionnaire for the presence of risk factors of hepatitis C and pregnancy outcome. Women with the known previous liver disease were excluded from the study. Data were analyzed using SPSS for Windows version 16.0. p
机译:目的进行研究以调查2010年1月至1月之间在法里德科特古鲁·戈宾德·辛格医学院和医院的妇产科住院分娩的抗HCV阳性孕妇的患病率,危险因素和妊娠结局。 2013年。法里格特GGS医学院和医院的妇产科设置部门。材料和方法选择病例对照研究设计进行研究。 2010年1月至2013年1月在我院分娩室就诊的1412名孕妇通过第三代ELISA进行了抗HCV检测。年龄,胎次和胎龄匹配的对照组均来自同一时间分娩的丙型肝炎检测阴性的妇女。所有受试者和对照组对HIV和HBsAg也无反应。将危险因素和妊娠结局与对照组进行比较。批准是从研究所的道德委员会获得的。同意参加研究的妇女在问卷调查的基础上评估了丙型肝炎的危险因素和妊娠结局。患有已知先前肝病的妇女被排除在研究之外。使用Windows版本16.0的SPSS分析数据。 p <?0.05被认为是显着的。结果研究期间,在1,412例接受抗HCV检测的患者中,有40例检测为抗HCV抗体阳性。将40例患者作为对照,其抗HCV抗体阴性。在我们的研究中,怀孕期间HCV的患病率为2.8%。在所研究的危险因素中,先前的手术和输血是统计学上显着的危险因素。 16例患者与4例对照者有大手术史,在p <?0.05时具有统计学意义(p值0.002)。在病例和对照中,输血史分别为4例和2例,在p <?0.05时具有统计学意义(p值0.004)。性传播不是危险因素,因为孕妇的配偶均没有HCV抗体阳性。两组的新生儿结局相似。与对照组相比,研究组的妊娠并发症,即妊娠诱发的高血压和产前出血明显更高。结论妊娠期间丙型肝炎病毒感染的发生率为2.8%。外科手术,输血是传播的主要危险因素。 35%的病例中没有可识别的危险因素。 HCV阳性母亲更容易发生妊娠并发症,如妊娠高血压和产前出血。新生儿结局不受影响。由于许多患者可能没有任何危险因素,因此应该对所有孕妇进行HCV普查。

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