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冬天,春天,夏天或秋天:胎盘介导妊娠并发症的时间模式 - - 一项探索性分析
Maria Jeppegaard1,2,3, Steen C Rasmussen4,5,6, Jacob Anhøj6
1Department of Gynecology and Obstetrics, Copenhagen University Hospital - Holbæk, Smedelundsgade 60, 4300, Holbaek, Denmark. Maria.jeppegaard@regionh.dk.
Archives of gynecology and obstetrics
|June 23, 2023
概括
怀孕期间的高血压疾病表现出季节性变化,春季和夏季的受孕与更高的风险有关. 其他胎盘介导的妊娠并发症,如胎儿生长限制,没有表现出季节性模式.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 围产期健康 围产期健康
背景情况:
- 胎盘介导的妊娠并发症在高收入国家对孕产妇和新生儿的发病率和死亡率有很大影响.
- 关键并发症包括胎儿生长限制,高血压疾病和早产.
研究的目的:
- 为了研究胎盘介导的妊娠并发症的潜在季节性变化.
- 具体关注的是怀孕年龄相对小,子宫内生长限制,子宫前,早产和子宫内胎儿死亡.
主要方法:
- 丹麦的一项队列研究分析了从2006年12月到2016年11月的555,459例单独生产.
- 使用统计过程控制图表来检测结果中的非随机时间变化.
- 考虑了诸如BMI,糖尿病,试管婴儿,晚期母亲年龄,初级生育,之前的剖腹产和吸烟等危险因素.
主要成果:
- 在妊娠高血压疾病中观察到明显的季节性模式.
- 在春季和夏季怀孕的孕妇患高血压疾病的风险最高.
- 没有发现过早分娩的显著季节性,对于妊娠年龄小,或子宫内死亡率.
结论:
- 妊娠中高血压疾病的风险显示出显著的季节性变化,春季和夏季怀孕达到顶峰.
- 这项研究没有发现其他主要的胎盘介导并发症的季节性变化的证据.
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