怀孕期间性交对早产的影响:日本前性单中心队列研究
Yoshie Yo1, Kaoru Kawasaki1, Kaori Moriuchi1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Kindai University, 377-2 Ohnohigashi, Osaka-Sayama 589-8511, Osaka, Japan.
Healthcare (Basel, Switzerland)
|June 10, 2023
概括
怀孕期间的性行为与日本妇女的早产率较高有关,与西方研究的发现不同. 这种风险随着频率的增加而增加,特别是当与细菌性阴道炎相结合时.
科学领域:
- 生殖健康 生殖健康
- 产科 产科 产科 产科 产科
- 围产期流行病学 围产期流行病学
背景情况:
- 之前的欧洲和美国研究表明,性交 (SI) 和早产之间没有联系.
- 这些发现对日本孕妇的适用性仍然不确定.
研究的目的:
- 在一个日本队列中调查怀孕期间性交与早产之间的关联.
- 为了确定这个人群中早产的独立风险因素.
主要方法:
- 在日本对182名孕妇进行前性队列研究.
- 通过问卷评估性交频率.
- 对与早产相关性的分析,包括多变量分析.
主要成果:
- 怀孕期间的性行为与更高的早产率显著相关 (p = 0.018).
- SI >1/周的频率显示出更强的关联 (p < 0.0001).
- SI,怀孕第二季度的细菌性阴道炎 (BV),早产和吸烟是独立的危险因素.
- 观察到SI和第二季度BV之间的协同效应,使得早产风险增加到60%.
结论:
- 怀孕期间的性行为是日本妇女早产的危险因素.
- 第二个三个月的细菌性阴道炎可能会增加与性交相关的风险.
- 关于干预措施的进一步研究是有必要的,例如建议不建议怀孕妇女与B.V.感染SI.
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