在满期怀孕和幼儿学校成绩时选择性诱导分娩
Roshan J Selvaratnam1,2, Euan M Wallace1,3, Daniel L Rolnik1
1The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia.
Journal of paediatrics and child health
|June 9, 2023
概括
在39周的低风险女性中,选择性分娩诱导与较差的早期学业成果有关,但这种联系在晚年级或40周时不一致.
科学领域:
- 产科和妇科 产科和妇科
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 在满期怀孕中,诱导分娩是常见的.
- 选择性劳动诱导对儿童长期发展,特别是教育成果的影响需要进一步调查.
研究的目的:
- 检查低风险的无产妇妇女在满期怀孕时诱导分娩和随后的童年学校成绩之间的关联.
主要方法:
- 一项回顾性队列研究利用了来自澳大利亚维多利亚州的相关产周和教育数据.
- 低风险的无孕妇女,单子怀孕在39或40周怀孕时诱导而没有医疗迹象,与预期管理的妇女进行了比较.
- 用多变量逻辑回归和概括估计方程进行数据分析.
主要成果:
- 39周的诱导与3年级 (aOR=1.39) 的教育成果明显差,但在5年级或7年级没有.
- 在40周的诱导显示,在3年级的结果相似,但在5年级和7年级的结果较差 (aOR=1.23).
结论:
- 在低风险的无产妇妇女中,选择性诱导分娩与儿童学校成绩受损之间的关联是不一致的.
- 研究结果表明,根据诱导时的妊娠年龄,对早期教育成绩有潜在的影响,尽管不均.
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