早期母亲的铁储存对胎盘重量和结构的影响
P C Hindmarsh1, M P Geary, C H Rodeck
1London Centre for Paediatric Endocrinology, University College London, UK. p.hindmarsh@ucl.ac.uk
Lancet (London, England)
|November 21, 2000
概括
孕产妇的铁状况,特别是低丁水平,会影响胎盘大小和出生体重. 在怀孕前确保足够的铁和叶酸对于健康的妊娠结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 营养科学 营养科学
背景情况:
- 巨大的胎盘大小和低出生体重与成人高血压有关.
- 孕产妇贫血是潜在的促成因素.
- 研究了母亲的铁状况与其他影响出生体重和胎盘大小的因素的相互作用.
研究的目的:
- 检查母亲的铁状况如何与社会经济因素和平等相互作用.
- 了解低风险怀孕中胎盘大小和出生体重的决定因素.
- 探索母亲的铁状况和胎盘形态之间的关系.
主要方法:
- 对1650个低风险单子白种怀孕的前性研究.
- 相关的胎盘大小和出生体重与母亲的铁状况,社会经济地位和平等.
- 在17个随机选择的初怀孕中评估了胎盘形态.
主要成果:
- 均等性显著影响了出生体重和胎盘体重.
- 预订时的母亲身高,体重和血清费里丁会影响胎盘体重,但不会影响血红蛋白.
- 血清费里丁度与叶酸摄入量和平价相关,与胎盘血管化相反.
结论:
- 孕产妇贫血与胎盘大小和出生体重的变化有关.
- 怀孕早期低水平的费里与胎盘血管化增加相关.
- 怀孕前的健康状况,包括铁和叶酸状况至关重要,尤其对高危女性来说.
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