与第一季度胎儿生长限制相关的风险因素和结果
Dennis O Mook-Kanamori1, Eric A P Steegers, Paul H Eilers
1The Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands.
JAMA
|February 11, 2010
概括
母亲因素如年龄,血压和吸烟会影响胎儿的早期生长. 第一个三个月的生长限制增加了早产,低出生体重和以后增长加速的风险.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿的发育 胎儿的发育
- 孕产妇健康 孕产妇健康
背景情况:
- 不利的环境暴露可以诱导胎儿的发育适应.
- 母亲特征和生活方式对第一季度胎儿发育和产后结果的影响尚不清楚.
研究的目的:
- 为了确定与第一季度胎儿生长限制相关的风险因素.
- 为了确定第一季度生长限制的结果.
主要方法:
- 鹿特丹1631名母亲的前性研究 (2001年至2005年).
- 评估了母亲的身体特征和生活习惯.
- 第一个三个月的胎儿冠状长度 (CRL) 通过超声波测量 (10-13周怀孕).
- 评估了与出生结果 (早产,低出生体重,对于妊娠年龄来说小) 和产后生长 (长达2年) 的关联.
主要成果:
- 母亲年龄与第一季度CRL正相关.
- 较高的透析血压和血红素水平与较短的CRL有关.
- 吸烟与不补充叶酸相结合,显著减少了CRL.
- 第一个三个月的生长限制增加了早产,低出生体重和怀孕年龄小的风险.
- 降低第一季度CRL预测到2岁的出生后生长加速.
结论:
- 母亲因素显著影响胎儿早期生长.
- 第一个三个月的生长限制是不利的出生结果和随后的增长加速的预测因素.
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