母亲年龄和出生缺陷:一个人口研究
P A Baird1, A D Sadovnick, I M Yee
1Department of Medical Genetics, University of British Columbia, Canada.
Lancet (London, England)
|March 2, 1991
概括
延迟生育与大多数未知原因的出生缺陷没有关联. 这项研究发现,母亲的年龄与特定的先天性疾病之间很少有重大联系,这为推迟怀孕的妇女提供了保证.
科学领域:
- 生殖健康 生殖健康
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 发达国家延迟生育的趋势越来越大.
- 需要评估与染色体异常无关的出生缺陷风险.
- 以前的研究还没有明确地将母亲的年龄与非染色体出生缺陷联系起来.
研究的目的:
- 调查母亲年龄与未知病因的先天缺陷之间的关联.
- 为了确定延迟生育是否会增加特定先天性异常的风险.
- 为选择晚期怀孕的妇女提供数据驱动的保证.
主要方法:
- 在不列颠哥伦比亚省使用链接出生记录的基于人口的研究.
- 包括26,859名来自576,815名活产儿的未知病因的出生缺陷的儿童.
- 排除染色体异常或已知病因的病例;分析43个出生缺陷类别.
主要成果:
- 在43个出生缺陷类别中,只有3个类别显示出明显的母亲年龄趋势.
- 观察到专利性动脉管和高性胆道狭窄症的母亲年龄的下降趋势.
- 生产时可脱的部/部点击与母亲的年龄显示了一个钟形的趋势.
结论:
- 没有发现母亲年龄的增长与大多数未知病因的出生缺陷发生率之间的总体关联.
- 特定的条件,如专利的管道动脉缩和过度增殖的胆道狭窄症显示,随着母亲年龄的增长,发病率下降.
- 调查结果表明,健康的妇女延迟生育可以放心关于大多数非染色体出生缺陷的风险.
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