母亲暴露于空气污染和产后胎儿痛苦之间的关联:一个回顾性队列研究
Alireza Khajavi1, Ehsan Zahmatkesh2, Maedeh Raznahan3
1Student Research Committee, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Reproductive toxicology (Elmsford, N.Y.)
|February 13, 2025
概括
在怀孕的最后八周内,母亲暴露于二氧化硫 (SO2) 和颗粒物 (PM10) 等空气污染物与增加胎儿痛苦有关. 较高的污染水平与分娩期间胎儿不良结果的风险更大相关.
科学领域:
- 环境健康 环境健康
- 产科 产科 产科 产科 产科
- 围产儿医学 围产儿医学
背景情况:
- 环境空气污染是一个日益严重的全球健康问题.
- 产后胎儿痛苦对新生儿构成重大风险.
- 了解胎儿痛苦的环境风险因素对于母婴健康至关重要.
研究的目的:
- 调查母亲暴露于环境空气污染和产后胎儿痛苦之间的关联.
- 评估特定污染物,二氧化硫 (SO2) 和颗粒物≤10微米 (PM10) 对胎儿痛苦的影响.
- 为了确定怀孕期间的关键暴露窗口.
主要方法:
- 在伊朗卡马利教学医院对150名分娩者的回顾性研究.
- 后勤回归模型用于分析SO2和PM10暴露的影响 (分娩前2,4周和8周).
- 模型根据母亲的共同变量进行调整,包括BMI,表亲婚姻,堕胎史和糖尿病家族史.
主要成果:
- 在8周的暴露窗口中,SO2的5μg/m3增加与胎儿痛苦的概率比率为2.12 (95% CI:1.04-4.30) 相关.
- 在8周的暴露窗口中,PM10的5μg/m3增加与1.61 (95% CI:1.08-2.40) 的胎儿痛苦赔率比率有关.
- 在研究人群中,胎儿痛苦发生率为11.3% (17例).
结论:
- 在怀孕的最后八周内长期暴露于SO2和PM10显着与产后胎儿痛苦的发病率增加有关.
- 空气污染是一个可修改的风险因素,需要在围产期护理中注意.
- 需要进一步的研究来探索在怀孕期间对空气污染暴露的减轻策略.
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