怀孕年龄和学术成绩之间的关联 产期出生的孩子
George L Wehby1,2,3,4,5
1Department of Health Management and Policy, University of Iowa, Iowa City.
JAMA network open
|July 31, 2023
概括
怀孕39-41周出生儿童的学业成绩与40周出生儿童相比没有显著差异. 这项研究提供了有关交付时间的长期认知发展和学校成功的见解.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 学业成绩的差异由妊娠年龄到期出生时还没有很好地理解.
- 了解这些差异对于优化儿童发展结果至关重要.
- 孕期出生时的妊娠年龄 (37-41周) 可能会影响长期的学业成绩.
研究的目的:
- 为了调查在37至41周妊娠年龄之间出生的儿童的学业成绩差异.
- 为了比较39周,40周和41周怀孕出生儿童的学校考试成绩.
- 根据临床决策,确定最佳时机进行按期分娩.
主要方法:
- 追溯队列研究将爱荷华州的出生证明 (1989-2009) 与学校测试成绩 (二至十一年级,2017-2018年级) 联系起来.
- 分析包括超过53万名儿童,评估国家百分位数排名 (NPRs) 中的数学和阅读成绩.
- 怀孕年龄分为37,38,39,40和41周,使用临床/产科和日历测量.
主要成果:
- 在妊娠39周和妊娠40周出生的孩子之间,在数学或阅读成绩上没有发现显著差异.
- 怀孕41周出生的孩子与40周出生的孩子相比,没有显示出明显更好的成绩.
- 怀孕37周和38周出生的孩子的数学成绩比40周出生的孩子要低.
结论:
- 没有证据表明39或41周怀孕出生儿童与40周怀孕出生儿童在数学和阅读方面的学术成绩差异.
- 这些发现支持目前关于分娩时间的指导方针,表明没有学术上的劣势,为按时出生的婴儿.
- 这项研究有助于了解分娩时间对认知发展和学业成功的长期影响.
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