被诊断为注意力缺陷/多动障碍的妇女的怀孕结果:基于人口的注册研究
Anneli Andersson1, Miguel Garcia-Argibay2,3,4, Sofi Oskarsson1
1School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden.
Acta psychiatrica Scandinavica
|October 1, 2025
概括
考虑到其他因素后,母亲的ADHD与早产无关. 然而,母亲的ADHD与妊娠年龄较大的婴儿和计划的剖腹产的风险更高.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 围产期健康 围产期健康
背景情况:
- 母亲注意力缺陷/多动障碍 (ADHD) 与不良妊娠结果有关.
- 伴随性精神障碍和吸烟对这种关联的影响需要进一步澄清.
研究的目的:
- 调查母亲ADHD与各种妊娠结果之间的关联.
- 为了确定伴随性疾病是否解释了ADHD和怀孕并发症之间的联系.
主要方法:
- 使用瑞典医疗出生登记册进行了1617.121次怀孕 (2006-2020年).
- 包括12553名怀孕前被诊断患有多动症的妇女.
- 采用了通用的线性混合效应模型,根据母亲的年龄,教育,并发性疾病和吸烟进行调整.
主要成果:
- 在调整后,母亲的ADHD与早产没有显著的关联 (adjOR=1.06,95%CI:0.99,1.13).
- 患有多动症与妊娠年龄较大的婴儿的风险增加有关 (adjOR=1.16,95% CI:1.06,1.26).
- ADHD也与计划剖腹产的可能性更高有关 (adjOR=1.16,95%CI:1.06,1.26).
结论:
- 在控制伴随性精神疾病和吸烟时,母亲的ADHD和早产之间的关联并不显著.
- 母亲的ADHD与分娩大于妊娠年龄的婴儿的风险增加有关.
- 患有多动症的女性有更高的风险接受计划剖腹产.
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