Roungsipragarn R, Borirug S, Herabutya Y
Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1999 Feb;82(2):178-81.
The study was designed to establish the relationship between plasma zinc level and intrauterine growth retardation in 405 normal pregnant women with an age range from 20 to 35 years, who attended and delivered at Ramathibodi Hospital The data were gathered from October 1994 to April 1995. The zinc levels were obtained from blood plasma collection and the assessment of fetal status was made after birth. Using criteria of babies with a birthweight of less than the 10th centile at delivery. Plasma zinc level in mother was collected during antenatal care and labour. Plasma zinc level was determined by Atomic Absorption Spectrophotometry. The plasma zinc levels in mothers during antenatal care, labour and infant birthweight were 66.73 micrograms/dl, 69.91 micrograms/dl and 3152.25 g respectively. Maternal plasma zinc levels during antenatal care, labour and infant birthweight in the intrauterine growth retardation infant group were significantly lower than that in normal growth infants (P < 0.05). In conclusion, our study shows that measurement of maternal plasma zinc concentration in the third trimester would highly suggest mothers at risk of delivering intrauterine growth retardation babies. Mothers selected in this way might benefit from dietary advice and zinc supplementation during the remaining pregnancy.
该研究旨在确定405名年龄在20至35岁之间、在拉玛蒂博迪医院就诊并分娩的正常孕妇血浆锌水平与宫内生长迟缓之间的关系。数据收集于1994年10月至1995年4月。锌水平通过采集血浆获得,胎儿状况评估在出生后进行。采用分娩时出生体重低于第10百分位数的婴儿标准。母亲的血浆锌水平在产前护理和分娩期间采集。血浆锌水平通过原子吸收分光光度法测定。产前护理、分娩期间母亲的血浆锌水平及婴儿出生体重分别为66.73微克/分升、69.91微克/分升和3152.25克。宫内生长迟缓婴儿组产前护理、分娩期间母亲的血浆锌水平及婴儿出生体重显著低于正常生长婴儿组(P<0.05)。总之,我们的研究表明,孕晚期测量母亲血浆锌浓度可高度提示有分娩宫内生长迟缓婴儿风险的母亲。以这种方式选择的母亲在剩余孕期可能会从饮食建议和补锌中受益。