早期怀孕期间的叶酸补充剂和多胎的可能性:基于人口的队列研究
Zhu Li1, Jacqueline Gindler, Hong Wang
1The National Centre for Maternal and Infant Health, and the Department of Health Care Epidemiology, Peking University Health Science Centre, Beijing, China.
Lancet (London, England)
|February 8, 2003
概括
在怀孕期间补充叶酸并不会增加多胎产生的风险. 这项大型队列研究发现,叶酸使用与双胞胎或更高阶分娩的发生之间没有关联.
科学领域:
- 生殖健康 生殖健康
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 叶酸补充对于预防新生儿神经管缺陷至关重要.
- 一些研究表明,叶酸使用与多胎儿的增加之间存在潜在的联系.
- 这项研究旨在澄清叶酸摄入量与多胎妊娠之间的关联.
研究的目的:
- 调查叶酸补充剂与多胎儿发病率之间的关系.
- 为了确定在怀孕前或早期使用叶酸是否会影响多胎妊娠的发生率.
主要方法:
- 一项基于人口的队列研究,涉及中国242,015名女性.
- 叶酸的使用被评估在怀孕结果已知之前.
- 分析了与叶酸摄入时间 (排卵前,受精后,怀孕后) 相关的多胎儿.
主要成果:
- 总共记录了1496个 (0.62%) 多胎出生.
- 在服用叶酸的妇女中,多胎儿的发生率为0.59%,在不服用叶酸的妇女中为0.65%.
- 与叶酸使用相关的多胎儿的比率为0.91 (95% CI 0.82-1.00).
结论:
- 怀孕期间的叶酸消费与多胎风险的增加无关.
- 这些发现不支持叶酸补充剂与更高的双胞胎或多胞胎妊娠率之间的联系.
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