怀孕期间的压力与新生儿低出生体重有关:罗德岛州的经验
Molly Bloom1, Annie Gjelsvik2, Siraj Amanullah3
1Global Health/Faculty Development Fellow in the department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. mjbloom1@gmail.com.
Maternal and child health journal
|November 13, 2023
概括
产前压力显著增加了低出生体重 (LBW) 新生儿的风险. 怀孕期间中度至高压力与1.70的LBW概率有关,突出了对压力支持服务的需求.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 产前压力是不良分娩结果的已知的危险因素.
- 低出生体重 (LBW) 是婴儿健康和发育的关键指标.
- 了解母亲压力对出生体重的影响对于有针对性的干预至关重要.
研究的目的:
- 调查报告的产前压力水平与罗德岛低出生体重 (LBW) 发生率之间的联系.
- 量化与怀孕期间中度至高压力相关的LBW风险.
主要方法:
- 利用了2016-2018年罗德岛怀孕风险评估监测系统 (PRAMS) 的数据.
- 在怀孕期间分类压力为"没有到最小"和"中度到高".
- 定义LBW为小于2,500克,并使用多变量回归分析来计算复杂的调查设计.
主要成果:
- 大约有24%的孕妇报告说,他们的压力水平中等至高.
- 中等到高的产前压力与LBW新生儿的1.70 (95% CI 1.43-2.03) 的调整几率比率有关.
- 诸如原始性,早产,种族主义经历,吸烟和慢性疾病等因素也与LBW有关.
结论:
- 在所有为孕妇服务的医疗机构推进行产前压力常规查.
- 提供支持服务来管理怀孕期间的压力对于改善分娩结果至关重要.
- 解决母亲的压力可能是减少低出生体重发病率的关键策略.
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