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母亲孕期饮酒与早产风险的关联:日本环境与儿童研究。

Association between maternal alcohol consumption during pregnancy and risk of preterm delivery: the Japan Environment and Children's Study.

机构信息

Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Suita-shi, Japan.

Department of Public Health, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

出版信息

BJOG. 2019 Nov;126(12):1448-1454. doi: 10.1111/1471-0528.15899. Epub 2019 Aug 25.

DOI:10.1111/1471-0528.15899
PMID:31386246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7003893/
Abstract

OBJECTIVE

To examine the association between maternal alcohol consumption during pregnancy and the risk of preterm delivery.

DESIGN

Prospective cohort study.

SETTING

The Japan Environment and Children's Study (JECS).

POPULATION

A total of 94 349 singleton pregnancies.

METHODS

Participants completed questionnaires detailing alcohol consumption during the first trimester and during the second and third trimesters. Participants were divided into four categories according to alcohol consumption (non-drinkers, consumers of 1-149 g, 150-299 g and ≥300 g ethanol/week). We examined the effect of alcohol consumption during different stages of pregnancy on the risk of preterm delivery. Odds ratios (OR) and 95% CI were calculated relative to non-drinkers using logistic regression.

MAIN OUTCOME MEASURES

Medical record-based preterm delivery.

RESULTS

Alcohol consumption during the second and third trimesters, but not during the first trimester, was associated with increased risk of preterm delivery. Heavy alcohol consumption (≥300 g ethanol/week) during the second and third trimesters was associated with a four-fold higher risk compared with non-drinkers (multivariable OR 4.52; 95% CI 1.68-12.2). Light alcohol consumption (1-149 g ethanol/week) tended to be associated with lower risk of preterm delivery (multivariable OR 0.78; 95% CI 0.60-1.00).

CONCLUSIONS

Heavy alcohol consumption during the second and third trimesters was associated with increased risk of preterm delivery among pregnant women.

TWEETABLE ABSTRACT

Heavy drinking during pregnancy may increase the risk of preterm delivery.

摘要

目的

探讨孕期母亲饮酒与早产风险的关系。

设计

前瞻性队列研究。

地点

日本环境与儿童研究(JECS)。

人群

共纳入 94349 例单胎妊娠。

方法

参与者完成了详细的问卷,内容包括妊娠早期和妊娠第二、第三阶段的饮酒情况。参与者根据饮酒量(不饮酒者、每周饮酒 1-149g、150-299g 和≥300g 乙醇)分为四组。我们研究了妊娠不同阶段饮酒对早产风险的影响。使用逻辑回归计算相对于不饮酒者的比值比(OR)和 95%置信区间(CI)。

主要结局指标

基于医疗记录的早产。

结果

妊娠第二和第三阶段的饮酒与早产风险增加相关,而妊娠第一阶段的饮酒与早产风险增加无关。与不饮酒者相比,妊娠第二和第三阶段大量饮酒(≥300g 乙醇/周)的早产风险增加了四倍(多变量 OR 4.52;95%CI 1.68-12.2)。轻度饮酒(每周 1-149g 乙醇)与早产风险降低相关(多变量 OR 0.78;95%CI 0.60-1.00)。

结论

妊娠第二和第三阶段大量饮酒与孕妇早产风险增加相关。

推文摘要

孕期大量饮酒可能增加早产风险。

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