意外怀孕的长期后果:多中心研究中的早期儿童生长和发育的影响
Linda Yanti1, Surtiningsih2, Fauziah Hanum Nur Ardiyani2
1Midwifery Study Program, Faculty of Health, Universitas Harapan Bangsa, Banyumas 53182, Central Java, Indonesia. lindayanti@uhb.ac.id.
World journal of clinical pediatrics
|November 19, 2025
概括
意外怀孕会对孩子的生长和发育产生负面影响,导致营养不良和发育障碍等问题. 早期干预和计划生育对于减轻这些长期影响至关重要.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 意外怀孕对儿童福祉构成风险,并可能造成社会经济挑战.
- 关于意外怀孕对儿童发育的长期影响的研究有限,特别是在多中心环境中.
研究的目的:
- 调查意外怀孕对早期儿童生长和发育的长期影响.
主要方法:
- 一项涉及700名儿童 (≤5岁) 的病例控制研究,遍及印度尼西亚的研究中心.
- 通过采访,人体测量和发育评估收集的数据.
- 分析使用多变量统计和部分最小方程结构方程建模.
主要成果:
- 意外怀孕显著影响了孩子的生长 (P < 0.001) 和发育 (P < 0.001).
- 增长问题包括体重不足,营养不良,头部周长异常和发育迟缓.
- 发育问题包括行为障碍,自闭症谱系障碍,多动症,社会/运动缺陷和感官障碍.
结论:
- 意外怀孕对孩子的生长和发育有显著的不利影响.
- 强调早期干预和全面产前护理的必要性.
- 强调强有力的计划生育政策的重要性.
相关概念视频
Nature and Nurture
22.1K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
22.1K
Longitudinal Research
13.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.0K
Attention-Deficit/Hyperactivity Disorder
722
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
722
Teratogenicity
3.9K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
3.9K
Longitudinal Studies
454
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
454
Environmental Influences on Intelligence
866
Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children...
866


