大气压的下降和随后的每日输送量波动:一个案例交叉研究
Shuhei Terada1, Hisaaki Nishimura1, Naoyuki Miyasaka2
1Department of Public Health, Institute of Science Tokyo, Tokyo, Japan.
Paediatric and perinatal epidemiology
|March 27, 2025
概括
大气压的突然下降与几天内自发分娩的轻微增加有关,特别是在满期怀孕中. 这一发现强调了环境对出生时间的影响.
科学领域:
- 环境科学 环境科学
- 产科 产科 产科 产科 产科
- 流行病学 流行病学
背景情况:
- 每日分娩量波动会影响产科工作量和孕产妇和胎儿的结果.
- 大气压的下降,例如台风,可能会在增加的交付量之前发生.
- 关于按妊娠周和滞后效应的压力分娩关联的研究有限.
研究的目的:
- 研究大气压下降与每日自发分娩开始产量之间的关联.
- 分析这些关联在不同的妊娠周,并考虑滞后效应.
主要方法:
- 使用了时间分层的案例交叉设计,使用来自日本47个县的数据 (2011-2020年).
- 使用分布式滞后非线性模型的准波松回归来评估高达14天的压力下降效应 (第一百分位:-13.8hPa).
- 根据妊娠周 (<37,37,38,39,40,41周以上) 进行随机效应元分析和分层分析.
主要成果:
- 分析了1,074,380个自发发作的分娩.
- 滞后累积相对风险在0-4天的滞后期达到顶峰,在1周以后减少.
- 这种关联在妊娠年龄38-40周时最强,相对风险为1.07-1.10对于-13.8hPa的压力下降.
结论:
- 大气压的下降与随后几天自发分娩的适度增加有关.
- 这种效应特别明显,对于怀孕在满期妊娠 (38-40周) 的怀孕.
- 气压等环境因素可能会影响分娩开始的时间.
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