周围产生的压力因素和新生儿的后果 临界先天性心脏病的新生儿
Christina Ronai1,2, Isabel Katlaps3, Amanda Kim3
1Department of Cardiology, Boston Children's Hospital, Boston, MA 02115, USA.
Journal of cardiovascular development and disease
|December 22, 2023
概括
在患有先天性心脏病 (CHD) 的怀孕中产前压力与手术后新生儿对皮质类固醇治疗的需求增加有关. 较高的产前压力评分与较差的新生儿结果相关.
科学领域:
- 围产儿医学 围产儿医学
- 儿童心脏病学 儿童心脏病学
- 新生儿手术 新生儿手术
背景情况:
- 先天性心脏病 (CHD) 的产前诊断导致了父母的重大压力.
- 怀孕期间母亲的压力可能会对新生儿的结果产生负面影响.
- 现有的心理社会压力因素可能会加剧母亲的压力.
研究的目的:
- 为了调查产前压力和新生儿结局之间的关系,在怀孕与产前诊断的CHD.
- 探索母亲压力对接受心脏手术的新生儿的影响.
主要方法:
- 试验性回顾性队列研究 (2019-2021) 关于患有严重心血管疾病的怀孕.
- 收集关于怀孕,新生儿和术后结果的数据,包括外源性皮质类固醇治疗 (ECT).
- 一个复合的产前压力评分 (PSS) 被开发来量化母亲的压力.
主要成果:
- 分析了41个母胎双;32%的新生儿具有单心室解剖学.
- 较高的产前压力评分 (PSS) 与心脏病手术后需要ECT有关 (p=0.01).
- PSS与出生体重,感染或低血糖没有相关性.
结论:
- 产前压力是多因素的,与新生儿的结果有关.
- 较高的产前压力与对绕道术后ECT的需要相关.
- 在心血管疾病病例中,压力较大的子宫内环境可能与新生儿术后结果较差有关.
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