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[与小于胎龄儿相关的妊娠相关焦虑]

[Pregnancy-related anxiety associated with small-for-gestational-age infants].

作者信息

Lai Y P, Yan S Q, Huang K, Chen M L, Hao J H, Mao L J, You Y, Tao F B

机构信息

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.

Department of Ma'anshan Maternal and Child Health Center, Ma'anshan 243000, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Oct 10;39(10):1329-1332. doi: 10.3760/cma.j.issn.0254-6450.2018.10.008.

Abstract

To investigate the second or third trimester pregnancy-related anxiety on small-for-gestational-age infants. This study was based on Ma'anshan Birth Cohort Study (MABC), with 3 040 maternal-singleton pairs finally selected for data analysis, from May 2013 to September 2014. The psychological state of pregnancy was evaluated according to a self-developed 'anxiety scale for gestation'. Small-for-gestational-age was defined as 'having birth weight below the 10(th) percentile at a particular gestational week', while large-for-gestational-age infants was defined as 'having birth weight above the 90(th) percentile'. Birth weight between the 10(th) and 90(th) percentile was classified as appropriate-for-gestational age infants. (2) test was used to compare the distribution of characteristics in pregnancy among three groups with different birth weights. Multivariate logistic regression models were conducted to evaluate the associations between third trimester pregnancy- related anxiety and birth weight. The incidence rates of small- and large-gestational-age infants were 9.6% and 16.6%, respectively. Difference between women with only one of the second or third trimester pregnancy-related anxiety syndromes and small-for-gestational-age infants showed no statistical significance. Women with both second and third trimester pregnancy-related anxieties might increase the risk of small-for-gestational-age infants (=1.39, 95: 1.04-1.87). However, there was no significant difference between pregnancy-related anxiety and large-for- gestational-age infants (=1.05, 95: 0.81-1.35) noticed. Women with second and third trimester pregnancy-related anxiety appeared a risk factor for small-for-gestational-age infants.

摘要

为研究孕中期或孕晚期与孕周不符的焦虑对小于胎龄儿的影响。本研究基于马鞍山出生队列研究(MABC),于2013年5月至2014年9月最终选取3040对母婴单胎数据进行分析。根据自行编制的“孕期焦虑量表”评估孕期心理状态。小于胎龄儿定义为“在特定孕周出生体重低于第10百分位数”,而大于胎龄儿定义为“出生体重高于第90百分位数”。出生体重在第10至90百分位数之间的被归类为适于胎龄儿。采用(2)检验比较不同出生体重三组孕妇孕期特征分布。采用多因素logistic回归模型评估孕晚期与孕周不符的焦虑与出生体重之间的关联。小于胎龄儿和大于胎龄儿的发生率分别为9.6%和16.6%。孕中期或孕晚期仅有一种与孕周不符的焦虑综合征的女性与小于胎龄儿之间差异无统计学意义。孕中期和孕晚期均有与孕周不符的焦虑的女性可能会增加小于胎龄儿的风险(比值比=1.39,95%置信区间:1.04 - 1.87)。然而,未发现与孕周不符的焦虑与大于胎龄儿之间有显著差异(比值比=1.05,95%置信区间:0.81 - 1.35)。孕中期和孕晚期有与孕周不符的焦虑的女性似乎是小于胎龄儿的一个危险因素。

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