活动限制和不良妊娠结果的风险
Laura C Ha1, Mariam Naqvi1, Patrick Conley2
1Cedars Sinai Medical Center, Department of Obstetrics and Gynecology, Los Angeles, CA (Ha, Naqvi, and Kilpatrick).
American journal of obstetrics & gynecology MFM
|August 23, 2024
概括
在怀孕期间限制活动会增加高血压疾病和早产的风险. 这种做法可能受到种族偏见的影响,黑人和西班牙裔个人不太可能接受这一建议.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 在怀孕期间经常建议限制活动,但没有强有力的证据表明改善了结果.
- 与怀孕期间活动限制相关的疗效和潜在偏差需要研究.
研究的目的:
- 调查活动限制 (AR) 和不良妊娠结果 (APO) 之间的关联.
- 检查在怀孕期间推AR的潜在种族差异.
主要方法:
- 预期无卵性妊娠结果研究的二次分析:监测即将成为母亲 (nuMoM2b) 队列.
- 使用后勤回归模型来评估AR和APO之间的关联,并根据风险因素进行调整.
- 数据包括人口统计信息和妊娠结果,如妊娠高血压,孕前,早产和妊娠年龄小的新生儿.
主要成果:
- 大约14.9%的参与者接受了推的AR.
- 与白人相比,黑人和西班牙裔人不太可能被推AR.
- 活动限制与妊娠高血压,妊娠前/妊娠后和早产的几率增加有关,但对于妊娠年龄的新生儿来说并不小.
结论:
- 怀孕期间的活动限制与高血压疾病和早产的更高几率有关.
- 在AR的推中存在种族差异,这表明潜在的偏见.
- 需要进一步的研究来确定因果关系,并解决产前护理中的偏见做法.
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