孕期体重增加与早期儿童医疗服务利用之间的关系:一项回顾性队列研究
Lisa M Currie1, Deshayne B Fell2,3,4, Steven Hawken2,3,5
1School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada. lcurr073@uottawa.ca.
Maternal and child health journal
|November 14, 2023
概括
超出推范围的孕期体重增加会影响儿童的健康. 以下推的GWG,特别是在体重不足的母亲中,与在前两年增加的儿科医疗保健使用有关.
科学领域:
- 产科和妇科 产科和妇科
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 超出推范围的孕期体重增加 (GWG) 对母亲和婴儿的健康构成风险.
- 缺乏或过度使用GWG的长期儿科后果仍然不完全理解.
研究的目的:
- 调查母亲GWG和随后的儿科卫生服务利用之间的联系.
- 探索怀孕前的体重指数 (BMI) 如何改变GWG和儿童健康结果之间的关系.
主要方法:
- 使用基于人口的出生登记册进行的回顾性队列研究.
- 包括258,005名活产儿,分析母亲的GWG和儿科医疗保健使用情况.
- 在产后的前24个月内评估住院率和专家访问率.
主要成果:
- 以下推的GWG,特别是在体重不足的母亲中,与更高的儿童住院率有关.
- 出生于低于推GWG的母亲的儿童显示,专家咨询的频率增加.
- GWG对儿科卫生服务使用的影响似乎受到母亲怀孕前的BMI的影响.
结论:
- 母亲GWG显著影响儿科健康结果.
- GWG与儿童健康服务使用之间的关系是由孕前母亲的BMI调节的.
- 这些发现强调了考虑GWG和妊娠前BMI对于优化儿科健康的重要性.
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