真空とフォーチュンによる出産の長期的影響
1Department of Obstetrics and Gynaecology, Sheba Medical Centre, Tel-Hashomer, Israel.
Lancet (London, England)
|June 29, 1991
まとめ
真空出産や絞り器出産で生まれた赤ん坊の長期的アウトカムでは,17歳で認知機能や身体障害が顕著でないことが示されています. これらのインストゥルメンタル・デリバリー・メソッドは,子供の発達に無害で,長期的には最小限の効果が観察されている.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 小児神経学について
- 公衆衛生は公衆衛生である.
背景:
- 器用配達方法,特に真空とフォーチュンプスの長期的な健康への影響は,まだ十分に研究されていない.
- これらの出産介入の後の身体的および認知的欠陥の可能性を理解することは,親のカウンセリングと臨床実務に不可欠です.
研究 の 目的:
- 17歳の時に真空抽出またはフォースプスによる出産による長期の身体的および認知的結果を調査する.
- これらのアウトカムを,自発出産または帝王切開で生まれた乳児のアウトカムと比較する.
主な方法:
- エルサレムで1964年から1972年の間に生まれた52,282人の乳児を対象とした遡及的なコホート研究.
- イスラエルの国防軍のドラフトボードのデータを活用し,出生記録を諜報テストの得点と17歳の時の健康診断と関連付けました.
- 混同要因を調整するために段階的な複数の回帰を採用した.
主要な成果:
- 初期の粗末な分析では,真空とフォーチュンプスの配達グループで知能スコアが高いことが示されましたが,これらの差異は,混同変数を調整した後に消失しました.
- 器用出産グループと自発出産グループでは,軽微な身体障害 (脚,足,視力,網膜など) に対して,小規模で統計的に有意な差異が認められた.
- 長期にわたる認知障害は,真空出産や絞り器出産と関連付けられませんでした.
結論:
- 17歳までに真空抽出やフォースペスを使って出産した乳児は,重大な身体的または認知的障害のリスクが増加しているように見えません.
- インストゥルメンタル・デリバリー・メソッドは,主要な開発結果に関して,長期的な安全性プロファイルが好ましいことを示しています.
- 発見は,長期の子供の発達に関する安心感を伴って,指示されたときに真空とフォーチュンプスの継続的な使用を支持しています.
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