Akutagawa Osamu, Nishi Hirotaka, Isaka Keiichi
Department of Obstetrics and Gynecology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Arch Gynecol Obstet. 2007 Apr;275(4):249-54. doi: 10.1007/s00404-006-0259-3. Epub 2006 Sep 27.
Many studies have shown that changes in the weather affect health. In the field of obstetrics and gynecology, several events have been empirically shown to be related to the weather. Labor pain is controlled by the autonomic nervous system and various hormones, and is expected to be influenced by the weather and environmental changes. Several studies have been conducted on the relationship between delivery and barometric pressure, which shows constant changes with changes in weather, but there is no generally accepted view on this.
We conducted a retrospective study in our patients who had a spontaneous cephalic delivery in this hospital between January 1997 and December 2003, in order to determine whether low barometric pressure induces labor pains, premature rupture of the membranes, and delivery, and whether changes in barometric pressure affect delivery.
There was a significant increase in the number of deliveries and rupture of the membranes at low barometric pressure (P < 0.01), although there was no significant correlation between onset of labor and barometric pressure. This tendency was noted in both women with spontaneous rupture of the fetal membranes and those with premature rupture of the membranes (P < 0.01). On days with a larger change in barometric pressure, regardless of whether it was increasing or decreasing, the number of deliveries increased and the relationship was statistically significant (P < 0.01).
A causal relationship was noted between the number of rupture of the fetal membranes, delivery and barometric pressure, suggesting that low barometric pressure induces rupture of the fetal membranes and delivery.
许多研究表明天气变化会影响健康。在妇产科领域,已有多项经验性研究表明一些事件与天气有关。分娩疼痛受自主神经系统和多种激素控制,预计会受到天气和环境变化的影响。关于分娩与气压之间的关系已开展了多项研究,气压会随天气变化而不断改变,但对此尚无普遍认可的观点。
我们对1997年1月至2003年12月期间在本院自然分娩头位胎儿的患者进行了一项回顾性研究,以确定低气压是否会引发分娩疼痛、胎膜早破和分娩,以及气压变化是否会影响分娩。
在低气压时,分娩和胎膜破裂的数量显著增加(P < 0.01),尽管分娩发作与气压之间无显著相关性。这种趋势在胎膜自然破裂的女性和胎膜早破的女性中均有体现(P < 0.01)。在气压变化较大的日子里,无论气压是升高还是降低,分娩数量都会增加,且这种关系具有统计学意义(P < 0.01)。
胎膜破裂数量、分娩与气压之间存在因果关系,这表明低气压会引发胎膜破裂和分娩。