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血缘关系与不良妊娠结局:约旦北部的经验。

Consanguinity and adverse pregnancy outcomes: the north of Jordan experience.

机构信息

Department of Obstetrics and Gynecology, Jordan University of Science and Technology, P.O. Box 2954, Irbid 21110, Jordan.

出版信息

Matern Child Health J. 2010 Mar;14(2):283-9. doi: 10.1007/s10995-008-0426-1. Epub 2008 Nov 4.

Abstract

This cross-sectional study was carried out to assess the association between consanguineous marriages and adverse pregnancy outcome in the north of Jordan. Women delivered in four major hospitals in the north of Jordan between April 2007 and May 2007 were included in the study. Non-Jordanian women and women with multiple pregnancies were excluded. Mothers answered a pilot-tested structured questionnaire administered by trained personnel in the maternity ward. Data regarding pregnancy outcomes were obtained from the patients' individual records. A total of 3,269 women with a mean age of 27.2 (SD 6.6) years were included. About 49% of women had consanguineous marriages. Consanguineous marriages were significantly associated with low birth weight delivery (13.9% vs. 10.1%), preterm delivery (19.9% vs. 12.3%), and births with congenital anomalies (4.1% vs. 0.8%) compared with non-consanguineous marriages. In the multivariate analysis, consanguinity was significantly associated with preterm delivery (OR = 1.5, 95% CI 1.2, 1.9), and congenital malformations (OR = 6.5, 95% CI 2.8, 15.3). In conclusions, this study supports the association between consanguinity and some adverse pregnancy outcomes.

摘要

这项横断面研究旨在评估约旦北部近亲婚姻与不良妊娠结局之间的关联。研究纳入了 2007 年 4 月至 5 月期间在约旦北部 4 家主要医院分娩的妇女。排除了非约旦妇女和多胎妊娠妇女。母亲在产科病房由经过培训的人员回答了经过试验的结构化问卷。妊娠结局相关数据来自患者的个人记录。共纳入 3269 名平均年龄为 27.2(SD 6.6)岁的妇女。约 49%的妇女有近亲婚姻。与非近亲婚姻相比,近亲婚姻与低出生体重儿分娩(13.9%比 10.1%)、早产(19.9%比 12.3%)和先天性畸形儿分娩(4.1%比 0.8%)显著相关。多变量分析显示,近亲婚姻与早产(OR=1.5,95%CI 1.2,1.9)和先天性畸形(OR=6.5,95%CI 2.8,15.3)显著相关。总之,这项研究支持近亲婚姻与一些不良妊娠结局之间的关联。

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