妊娠の遅延と不良の生理周期の結果のリスク. 人口ベースの研究です
S Cnattingius1, M R Forman, H W Berendes
1Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892.
JAMA
|August 19, 1992
まとめ
妊娠遅延は,健康な女性でも胎児死亡や低出生体重を含む不良な妊娠結果のリスクを高めます. この研究は,産前ケアにおいて母親の年齢を考慮することの重要性を強調しています.
科学分野:
- 生殖器保健は,生殖器の健康についてです.
- перинатаル流行病学について
- 妊産婦・胎児医学について
背景:
- 妊産婦の年齢の上昇は,世界中で増加している傾向です.
- 妊娠の結果に対する母親の年齢の影響は,特に健康なヌリパール女性において,継続的な調査を必要とします.
- 以前の研究では,混同要因に完全に調整されていない可能性があります.
研究 の 目的:
- 高齢の母親の年齢と妊娠の結果との関連を調べる.
- 健康で初めての母親のリスクを具体的に評価する.
- 人口統計,ライフスタイル,医療の混乱を制御するために.
主な方法:
- スウェーデンの医療出生登録簿から将来的に収集されたデータを利用した人口ベースのコホート研究.
- その中には,1983年から1987年の間にシングルを出産した20歳以上の173715人のヌリパールな北欧の女性も含まれていた.
- 胎児死亡の遅延,非常に低出生体重 (VLBW),適度に低出生体重 (MLBW),非常に早産,適度な早産,および妊娠年齢 (SGA) に対して小さい乳児の割合を分析した.
主要な成果:
- 30~34歳の女性は,20~24歳の女性と比較して,胎児死亡,VLBW,MLBW,非常に早産,SGAの確率が高くなりました.
- VLBW,MLBW,非常に早産,適度早産,SGAのリスクは,35~39歳および40歳以上の女性では著しく高かった.
- 先進的な母親の年齢は,複数の不良 перинатаルアウトカムにおける高い確率比と相関しています.
結論:
- 妊娠遅延は,妊娠不良の結果の発生率が高いことと関連しています.
- これらのリスクは,母親の合併症やその他の既知のリスク要因を考慮した後も持続します.
- この結果は,高齢の母親に合わせた産前ケア戦略の必要性を強調しています.
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