深夜轮班工作与围产期结果之间的关联:使用JACSIS和JASTIS数据进行全国跨部门研究
Yuya Tanaka1, Yoshifumi Kasuga1, Yoshihiko Hosokawa2
1Department of Obstetrics and Gynecology, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
The journal of obstetrics and gynaecology research
|February 14, 2026
概括
在怀孕期间深夜轮班工作与更高的流产风险和其他并发症有关. 孕产妇健康管理卡可以为这些工作的母亲提供支持.
科学领域:
- 产科和妇科 产科和妇科
- 职业健康 职业健康 职业健康
- 围产儿医学 围产儿医学
背景情况:
- 轮班工作,特别是深夜轮班,在工作的女性中很常见.
- 轮班工作对母亲和胎儿健康的潜在不良影响越来越令人担忧.
- 了解与深夜轮班工作相关的特定周产期风险对于有针对性的干预至关重要.
研究的目的:
- 调查深夜轮班工作与孕妇各种围产期结局之间的联系.
- 检查与轮班工作母亲使用孕产妇健康管理和指导卡相关的因素.
主要方法:
- 一项涉及两个日本互联网调查的孕妇的比较研究.
- 分析了两个群体:深夜轮班工作者 (626例) 和非深夜轮班工作者 (6633例).
- 进行了统计分析,以评估深夜轮班工作与不良周产期结果之间的关联,以及影响卡片使用的因素.
主要成果:
- 晚上班组出现了更高的流产威胁,皮膜过早破裂 (PROM),因健康问题住院治疗,胎儿健康问题和传染病.
- 两组之间没有观察到早产,分娩时的妊娠年龄,分娩方式或出生体重的显著差异.
- 在深夜轮班工作者中,使用孕产妇健康管理和指导卡的妇女报告了更高的妊娠激增,流产的威胁和早产的发病率.
结论:
- 怀孕期间深夜轮班工作可能与产周并发症风险增加有关.
- 孕产妇健康管理和指导卡可以作为孕妇进行深夜班的支持工具.
- 需要进一步的研究,以阐明深夜轮班工作与不良围产期结果相关的机制,并优化支持策略.
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