低风险怀孕中母亲营养状况,血液动力学参数和分娩结果之间的关联:一项前性观察性研究
Chiara Lubrano1,2, Francesca Parisi1,3, Chiara Coco1,2
1Department of Biomedical and Clinical Sciences, Università degli Studi di Milano, 20157 Milan, Italy.
Nutrients
|January 23, 2024
概括
孕产妇的营养显著影响着怀孕的结果. 孕期营养不良和习惯与母亲血液动力学变化相关,影响胎儿生长和胎盘体重.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 营养科学 营养科学
背景情况:
- 孕妇的营养状况是妊娠结果的关键决定因素.
- 了解母亲的饮食,血液动力学和胎儿发育之间的相互作用至关重要.
研究的目的:
- 为了研究母亲的特征,营养习惯,血液动力学参数和孕期健康妇女的妊娠结果之间的联系.
- 用营养分数来量化母亲对健康饮食和生活方式的坚持.
主要方法:
- 对143名健康孕妇 (36-41周妊娠期) 进行前性观察研究.
- 在入学时评估的营养评分 (0-10).
- 使用超声波心脏输出监测器 (USCOM) 测量母亲的血液动力学 (心脏输出,全身血管阻力,史密斯-马迪根内托普指数).
- 用于关联分析的多调整通用线性模型.
主要成果:
- 更高的孕期BMI与增加的全身血管抵抗和心脏输出量降低以及史密斯-马迪根内托普指数有关.
- 改善的营养评分与史密斯-马迪根内托普指数积极相关.
- 心脏输出与出生和胎盘体重正相关;右心室中风显示负相关性.
结论:
- 孕产妇的营养状况和孕期的习惯与血液动力学变化有关.
- 这些变化可能会影响子宫内生长,影响出生和胎盘体重.
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