孕产妇妊娠前与婴儿传染病风险之间的关联 - - 一个兄弟姐妹匹配分析
Dor Marciano1, Eyal Sheiner1, Ruslan Sergienko2
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Beer-Sheva, Israel.
American journal of reproductive immunology (New York, N.Y. : 1989)
|January 10, 2025
概括
出生于孕前的母亲的孩子面临长期传染病的更高风险. 兄弟姐妹分析证实了这种增加的风险,即使在控制了其他因素之后.
科学领域:
- 产科和妇科 产科和妇科
- 儿科健康 儿科健康
- 流行病学 流行病学
背景情况:
- 孕前影响全球2%-5%的怀孕,对母亲和胎儿的健康构成重大风险.
- 孕产妇产前可以对子女的直接和长期福祉产生持久的影响.
- 关于孕前对后代的长期影响的先前研究受到混因素的限制.
研究的目的:
- 调查孕产妇妊娠前与后代长期传染性疾病之间的关联.
- 利用兄弟匹配分析来加强对混变量的控制.
主要方法:
- 一项回顾性队列研究包括至少在一次怀孕中患有妊娠前的妇女.
- 兄弟姐妹匹配分析比较了暴露和未暴露于母亲妊娠前的后代.
- 多变量生存分析评估了感染性住院率和第一次住院的时间.
主要成果:
- 与未暴露的兄弟姐妹相比,暴露于孕前的后代 (n=4272) 显示长期感染性住院的风险明显更高 (n=4272).
- 经过调整后,感染性住院的危险比为1.324 (95% CI 1.168-1.503).
- 调整包括母亲的年龄,妊娠年龄和分娩方式.
结论:
- 妊娠中因子宫前而出现并发症与后代传染病发病风险增加有关.
- 兄弟分析加强了证据,表明即使经过严格的混调整后,也存在强大的关联.
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