晚年母亲年龄和妊娠期体重增加对新生儿的影响
Ayse Yazan Arslan1, Cüneyt Ardic1, Beril Kara Esen2
1Recep Tayyip Erdogan University, Faculty of Medicine, Department of Family Medicine - Rize, Türkiye.
Revista da Associacao Medica Brasileira (1992)
|April 2, 2025
概括
过度的孕期体重增加增加了新生儿的风险大于孕期的新生儿. 在这项研究中,先进的母亲年龄并没有显著影响出生体重的Z-分数.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 公共卫生 公共卫生
背景情况:
- 先进的孕产妇年龄 (≥35岁) 和妊娠期体重增加 (GWG) 是怀孕的关键因素.
- 肥胖患病率正在上升,与母亲年龄的增加相吻合.
- 了解它们对新生儿结果的影响对于母婴健康至关重要.
研究的目的:
- 调查晚年母亲年龄和妊娠期体重增加对新生儿结局的影响.
- 分析GWG和出生体重Z分数之间的关联.
- 评估母亲年龄对出生体重Z分数的影响.
主要方法:
- 一项回顾性研究分析了瑞泽省642名孕妇及其新生儿的数据.
- 在五年内 (2022年4月至2023年1月) 从家庭健康中心和家庭医学信息系统收集的数据.
- 统计分析包括对母亲年龄和新生儿结局GWG的单变量和多变量评估.
主要成果:
- 过度的GWG与分娩大孕期新生儿的可能性显著增加 (多变量分析中的OR为1.72).
- 孕期体重增加状态显著影响出生体重Z-分数 (p=0.001).
- 先进的母亲年龄对出生体重Z-score没有显著影响 (p=0.136).
结论:
- 孕期体重管理对于预防诸如巨症等新生儿不良后果至关重要.
- 需要进一步的研究,以探索在肥胖率上升的背景下,母亲年龄,GWG和新生儿健康之间的复杂相互作用.
- 公共卫生倡议应专注于优化妊娠中GWG,特别是在老年母亲身上.
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