在日本的一项基于人口的队列研究中,围产期因素与神经发育转诊的关联
Yuki Kyono1, Masahiro Nishiyama2,3, Aoi Kawamura1
1Department of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
Scientific reports
|February 12, 2024
概括
围产因素,如男婴性别,剖腹产和缺乏社会支持,与3岁儿童的神经发育转诊有关. 母亲的精神病史和产后抑郁症也显示了相关性.
科学领域:
- 儿科 儿科 儿科
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 神经发育障碍的原因尚不清楚,但环境风险因素正在引起人们的注意.
- 确定围产期因素对于早期干预和支持至关重要.
研究的目的:
- 调查与3岁儿童神经发育转诊相关的围产期因素.
- 分析母亲和婴儿特征对发育结果的影响.
主要方法:
- 追溯,纵向,基于人口的队列研究.
- 利用了神户市 (2014-2016) 婴儿健康检查数据.
- 在16506名儿童中分析了围产因子和神经发育转诊之间的关联.
主要成果:
- 婴儿的男性性别 (aOR 2.51),剖腹产 (aOR 1.39) 和母亲心理咨询史 (aOR 1.56) 是显著的风险因素.
- 怀孕期间缺乏社会支持 (aOR 1.99),没有分娩后的社会援助 (aOR 1.49) 和爱丁堡产后抑郁量表高分 (aOR 1.36) 也与此有关.
- 这些因素与3岁时的神经发育转诊显著相关.
结论:
- 确定了六个围产因素:婴儿的男性性别,剖腹产,母亲的精神病史,高的EPDS得分,怀孕期间缺乏社会支持,以及产后缺乏社会援助.
- 这些发现强调了社会支持和母亲心理健康在儿童发育中的重要性.
- 该研究提供了针对有针对性的干预措施和对处于风险人口的支持的见解.
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