低出生体重,早产或怀孕年龄较小的妇女的生殖结果:基于人口的注册研究
Susanne Liffner1, Louise Möller1, Marie Bladh1
1Department of Obstetrics and Gynaecology in Linköping and Division of Children's and Women's Health, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
BJOG : an international journal of obstetrics and gynaecology
|September 1, 2025
概括
对于怀孕年龄 (SGA),早产 (PT) 或低出生体重 (LBW) 的妇女生育的可能性较低. 当使用自身卵子进行医疗辅助生殖 (MAR) 时,这种降低的育儿概率仍然存在,并且更明显.
科学领域:
- 生殖医学
- 生产周边流行病学
- 公共卫生
背景情况:
- 出生大小和怀孕年龄会影响长期的健康结果.
- 之前的研究表明,对于怀孕年龄 (SGA),早产 (PT) 或低出生体重 (LBW) 的个体的生殖成功减少.
研究的目的:
- 为了确定SGA,PT或LBW出生妇女的生育可能性是否持续到后期的生育年龄.
- 在这些妇女中研究医疗辅助生殖 (MAR) 的利用和结果.
主要方法:
- 在瑞典以人口为基础的登记研究.
- 包括1973年至1993年间出生的妇女 (n=1,000,148).
- 分析使用考克斯比例危险模型来评估分娩的可能性.
主要成果:
- 出生于SGA,PT或LBW的女性的分娩概率显著降低 (HRs从0. 90到0. 95不等).
- 在较年轻的SGA队列中,没有观察到女性的概率下降.
- 与对照组 (84. 6%) 相比,SGA或LBW出生女性的分娩成功率较低,卵子捐赠率较高 (2. 5- 5. 5%).
结论:
- 对于LBW,SGA或早产的妇女来说,即使在延长的随访后,父母的可能性也会降低.
- 这些妇女在使用自己的卵子进行MAR时,受孕率下降.
相关概念视频
Regression Toward the Mean
6.5K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.5K
Pathophysiology of Diabetes
1.2K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.2K
Infertility in Females
401
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
401
Study Designs in Epidemiology
410
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
410
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
174
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
174
Bias in Epidemiological Studies
671
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
671


