怀孕间隔和不良分娩结果:对双胞胎进行基于人口的队列研究
Gursimran Dhamrait1,2, Melissa O'Donnell3,4, Hayley Christian3,5
1Telethon Kids Institute, The University of Western Australia, 15 Hospital Avenue, PO Box 855, West Perth, Nedlands, Western Australia, 6872, Australia. gursimran.dhamrait@uwa.edu.au.
短的妊娠间隔 (IPI) 增加了早产早产和双胞胎低出生体重的风险. 在双胞胎怀孕中,长IPI也会增加早产,低出生体重和早产的风险.
科学领域:
- 产科和妇科 产科和妇科
- 围产期流行病学 围产期流行病学
- 生殖健康 生殖健康
背景情况:
- 妊娠间隔 (IPI) 对母亲和婴儿健康至关重要.
- 双胞胎怀孕的最佳IPI仍在调查中.
- 以前的研究还没有完全阐明IPI与双胞胎出生不良结果的关联.
研究的目的:
- 检查怀孕间隔 (IPI) 与双胞胎怀孕中不良分娩结果之间的关系.
- 确定与早产风险增加相关的特定IPI,怀孕年龄小,双胞胎出生体重低.
主要方法:
- 对西澳大利亚9,867例双胞胎怀孕 (1980-2015年) 的回顾性队列研究.
- 对各种IPI和不良出生结果的相对风险 (RRs) 的分析.
- 纳入负控暴露,以验证发现.
主要成果:
- 短IPI (<6个月) 与早产早产和低出生体重 (LBW) 的更高风险有关.
- 中间IPI (6-11个月) 与妊娠年龄相对小 (SGA) 和LBW的风险增加有关.
- 长时间的IPI (≥60个月) 显示早产,LBW和早产早产的风险增加.
结论:
- 短时间和长时间的跨怀孕间隔都与双胞胎怀孕的不良分娩结果有关.
- 对不良关联的最有力的证据是观察到较长的IPI.
- 研究结果强调了考虑IPI在优化双胞胎怀孕护理方面的重要性.
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