怀孕早期的倾向性乐观和怀孕结果在无双人群中
Nina K Ayala1, Audra C Fain2, Tess E K Cersonsky2
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI (Drs Ayala, Miller, and Lewkowitz); Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI (Drs Ayala, Miller, Clark, and Lewkowitz).
American journal of obstetrics & gynecology MFM
|September 21, 2023
概括
怀孕早期的乐观情绪较低与增加母亲不良结果的风险有关,包括高血压和剖腹产. 增强乐观可能会减少围产期并发症.
科学领域:
- 围产期健康 围产期健康
- 心理上的性 心理上的性
- 孕产妇和胎儿的医学
背景情况:
- 随机乐观,期待积极的结果,是一种已知的弹性因素,具有广泛的健康益处.
- 有限的数据存在于乐观和与怀孕相关的结果之间的关联.
研究的目的:
- 调查怀孕早期的处置乐观与不良周产期结果之间的关系.
- 评估较低的乐观情绪是否与母亲和新生儿并发症风险增加有关.
主要方法:
- 从2019年5月到2022年2月,对无双的个体进行前性队列研究.
- 怀孕20周以下评估乐观情绪;参与者一直被跟踪到分娩.
- 孕产妇不良结果 (妊娠糖尿病,高血压疾病,剖腹产) 和新生儿发病率是初级和二级结果,使用多变量逻辑回归分析.
主要成果:
- 在284名参与者中,47.9%的参与者经历了至少一个不良的母亲结果.
- 较低的乐观四分位数 (1和2) 与较高的四分位数相比,与母亲不良后果的调整几率显著更高有关.
- 具体来说,最低四分位数显示高血压和剖腹产的几率增加.
结论:
- 在怀孕早期减少的处置乐观与更高的孕产妇不良结果的可能性显著相关.
- 旨在改善乐观情绪的干预措施可能是缓解围产期发病率的新战略.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Nondisjunction
3.9K
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold...
3.9K
Null and Alternative Hypotheses
8.3K
The actual hypothesis testing begins by considering two hypotheses. They are termed the null hypothesis and the alternative hypothesis. These hypotheses contain opposing viewpoints.
The null hypothesis, denoted by H0 is a statement of no difference between the variables—they are not related. This can often be considered the status quo. As a result if you cannot accept the null, it requires some action.
The alternative hypothesis, denoted by H1 or Ha, is a claim about the...
The null hypothesis, denoted by H0 is a statement of no difference between the variables—they are not related. This can often be considered the status quo. As a result if you cannot accept the null, it requires some action.
The alternative hypothesis, denoted by H1 or Ha, is a claim about the...
8.3K
Infertility in Females
342
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
342
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
Stress Prevention and Stress Management Techniques II
54
Personality types, particularly Type A and Type B, significantly influence how individuals respond to stress. These personality distinctions are marked by varying levels of ambition, competitiveness, and coping styles, all of which shape an individual's resilience to stressors.
Type A Personality: Driven and Easily Stressed
Individuals with Type A personalities are often highly competitive and ambitious and operate with a strong sense of urgency. Commonly labeled as...
Type A Personality: Driven and Easily Stressed
Individuals with Type A personalities are often highly competitive and ambitious and operate with a strong sense of urgency. Commonly labeled as...
54


