[影响怀孕年龄小于怀孕年龄发生的因素不同程度]
Yi-Min Zhang1, Shu-Ming Shao1, Chen Yu
1Department of Pediatrics, Peking University People's Hospital, Beijing 100044, China (Zhang X-R, Email: icy.zhang@163.com); School of Public Health, Peking University, Beijing 100191, China.
概括
孕前体重,肥胖和孕前等疾病等孕产妇因素显著增加了严重的妊娠年龄小 (SGA) 出生的风险. 相反,生了多个孩子似乎可以防止严重的SGA.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 围产期流行病学 围产期流行病学
背景情况:
- 对于妊娠年龄 (SGA) 较小的新生儿有增加不良结果的风险.
- 识别导致SGA的因素,特别是严重的SGA,对于有针对性的干预至关重要.
研究的目的:
- 调查与不同程度的SGA相关的因素.
- 确定用于早期检测严重SGA病例的预测因子.
主要方法:
- 对2018-2022年新生儿和母亲数据的回顾性分析.
- 分类为严重的SGA (<3个百分位),轻微的SGA (3-10个百分位) 和非SGA (≥10个百分位) 组.
- 顺序的多项逻辑回归来确定影响因素.
主要成果:
- 分析了14821名新生儿;严重的SGA (1.74%),轻度的SGA (6.09%).
- 在严重的SGA组中,早产和死产的比率更高.
- 孕前母亲体重不足/肥胖,IVF-ET,子宫前,结缔组织疾病,带,乳液和子宫内生长限制显著增加了严重SGA风险. 多元性是一种保护性.
结论:
- 孕前母亲的营养状况,辅助生殖技术和特定的妊娠并发症是严重SGA的关键风险因素.
- 多样性显示出对严重SGA发展的保护作用.
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