孕前,胎儿生长限制和24个月的神经发育在非常早产婴儿
Jennifer Check1, Coral Shuster2, Julie Hofheimer3
1Department of Pediatrics, Division of Neonatology, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
JAMA network open
|July 5, 2024
概括
孕前没有影响早产婴儿的发育,但胎儿生长限制 (FGR) 与发育迟缓有关. 需要进一步的研究来了解它们对早期儿童发育的综合影响.
科学领域:
- 新生儿发育的新生儿发展
- 产周医学 产周医学
- 发育儿科 发育儿科
背景情况:
- 孕前会影响胎儿发育和产后健康.
- 胎儿生长限制 (FGR) 经常与妊娠前同时发生.
- 暴露于妊娠前和/或FGR的非常早产婴儿的发育结果尚不清楚.
研究的目的:
- 调查孕前和FGR与非常早产婴儿的发育和行为结果之间的关联.
- 描述这些条件对儿童发育的长期影响.
主要方法:
- 对529名非常早产婴儿 (怀孕30周前出生) 进行了前性队列研究.
- 婴儿在24个月的随访期被评估,使用贝利-III用于认知,运动和语言发展.
- 使用儿童行为检查清单/幼儿园 1.5-5.5 评估行为结果.
主要成果:
- 孕产妇妊娠前与贝利-III评分或行为结果的显著差异无关.
- 胎儿生长限制 (FGR) 与贝利-III.III的认知,语言和运动分数较低显著相关.
- 这些与FGR相关的效应观察到不论孕前状态.
结论:
- 预孕本身似乎与非常早产婴儿的不良发育或行为结果无关.
- 非常早产婴儿的FGR与发育迟缓有关,强调了它的重要性.
- 需要进一步的研究来阐明先孕和FGR在早产婴儿发育中的不同和联合作用.
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