School of Arts, Science and Humanities-Midwifery Department, University of Sao Paulo (USP), Sao Paulo City, Sao Paulo, Brazil.
Int J Biometeorol. 2012 Jul;56(4):661-7. doi: 10.1007/s00484-011-0465-y. Epub 2011 Jul 9.
Our objective was to assess extrinsic influences upon childbirth. In a cohort of 1,826 days containing 17,417 childbirths among them 13,252 spontaneous labor admissions, we studied the influence of environment upon the high incidence of labor (defined by 75th percentile or higher), analyzed by logistic regression. The predictors of high labor admission included increases in outdoor temperature (odds ratio: 1.742, P = 0.045, 95%CI: 1.011 to 3.001), and decreases in atmospheric pressure (odds ratio: 1.269, P = 0.029, 95%CI: 1.055 to 1.483). In contrast, increases in tidal range were associated with a lower probability of high admission (odds ratio: 0.762, P = 0.030, 95%CI: 0.515 to 0.999). Lunar phase was not a predictor of high labor admission (P = 0.339). Using multivariate analysis, increases in temperature and decreases in atmospheric pressure predicted high labor admission, and increases of tidal range, as a measurement of the lunar gravitational force, predicted a lower probability of high admission.
我们的目的是评估分娩的外在影响。在包含 17417 次分娩的 1826 天队列中,其中 13252 次为自发性分娩入院,我们通过逻辑回归研究了环境对分娩发生率高(定义为第 75 百分位数或更高)的影响。高分娩入院的预测因素包括室外温度升高(优势比:1.742,P = 0.045,95%CI:1.011 至 3.001)和大气压降低(优势比:1.269,P = 0.029,95%CI:1.055 至 1.483)。相比之下,潮差增加与高入院率的可能性降低相关(优势比:0.762,P = 0.030,95%CI:0.515 至 0.999)。月相不是高分娩入院的预测因素(P = 0.339)。使用多元分析,温度升高和大气压降低预测了高分娩入院,而潮差增加作为月球引力的测量值,预测了高入院率的可能性降低。