产前母亲的压力,睡眠质量和新生儿出生体重:一个前性队列研究
Yuyan Gui1,2, Qian Wei1,2, Yuyang Shi1,2
1Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China, Fudan University, Shanghai, China.
概括
产前母亲的压力对新生儿的发育有不同的影响,这取决于三个月. 第一个三个月的压力增加了孕期婴儿体型较大的风险,而第三个月的压力,通过睡眠质量调解,与降低出生体重和身体长度有关.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿发育 新生儿发育
- 精神病体医学是一种精神病体医学.
背景情况:
- 产前孕产妇压力 (PNMS) 是影响胎儿发育的已知因素.
- 对于PNMS对新生儿身体发育的具体影响,考虑到三个月的特异性影响和睡眠质量,需要进一步研究.
研究的目的:
- 为了确定PNMS是否影响新生儿出生体重和身体长度在妊娠三季度不同.
- 探索孕产妇睡眠质量在PNMS和新生儿身体发育之间的关系中的调解作用.
主要方法:
- 研究了一组来自上海母婴对队的2778名孕妇.
- 在第一和第三个三个月,使用孕妇生命事件量表 (LESPW) 和匹兹堡睡眠质量指数评估了PNMS和睡眠质量.
- 统计分析包括多个线性和逻辑回归,以及调度分析的引导式方法.
主要成果:
- 第一个三个月的PNMS,特别是从主观事件来看,与妊娠年龄大的婴儿的风险增加有关.
- 第三个三个月的严重负面客观事件压力与出生体重有负面联系,母亲的睡眠延迟调解了这一效应.
- 第三季度PNMS增加也与新生儿身体长度有负相关性.
结论:
- PNMS对新生儿身体发育的影响取决于压力类型和妊娠时间.
- 第三个三个月的母亲睡眠延迟在客观压力事件和降低出生体重之间的关联中起着调解作用.
- 这些发现突出了怀孕期间对PNMS对新生儿结局的影响脆弱性的关键时期.
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