孕产妇暴露于热量和神经管缺陷
A Milunsky1, M Ulcickas, K J Rothman
1Center for Human Genetics, Boston University School of Medicine, MA 02118.
JAMA
|August 19, 1992
概括
怀孕早期的热量暴露,特别是来自热浴,桑拿或发烧,与神经管缺陷 (NTD) 的更高风险有关. 电毯使用与NTD没有显著的关联.
科学领域:
- 生殖健康 生殖健康
- 甲状腺学 甲状腺学是一门学科.
- 产科 产科 产科 产科 产科
背景情况:
- 神经管缺陷 (NTD) 是一种严重的先天性异常.
- 孕妇在怀孕早期暴露于环境因素对胎儿发育的担忧.
研究的目的:
- 调查怀孕早期母亲暴露于热源 (热水浴,桑拿,发烧,电毯) 与NTD风险之间的关联.
主要方法:
- 对23491名接受产前查的妇女进行前性随访研究.
- 使用相对风险 (RR) 和逻辑回归来评估热暴露和NTD发病率.
- 调整了对母亲年龄,叶酸和家族病史进行控制的分析.
主要成果:
- 任何热暴露 (热水浴,桑拿,发烧,电毯) 显示NTD的原始RR为1.6.
- 热水浴,桑拿浴室或发烧的暴露对NTD的粗RR为2.2.
- 热浴使用的调整后RR为2.8;对两个热源的联合暴露显著增加了NTD风险 (RR 6.2).
结论:
- 孕妇在头三个月内接触热水浴,桑拿或发烧,会增加患NTD的风险.
- 热水浴的使用表明,单次热量暴露之间的最强的关联.
- 电毯暴露与NTD风险增加没有显著联系.
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