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新生儿健康指标与首次妊娠时的母亲年龄相关。

Newborn Health Indicators Associated with Maternal Age during First Pregnancy.

机构信息

Complejo Hospitalario de Jaén, 23007 Jaén, Spain.

Hospital San Juan de la Cruz, 23400 Úbeda, Spain.

出版信息

Int J Environ Res Public Health. 2019 Sep 17;16(18):3448. doi: 10.3390/ijerph16183448.

Abstract

Delaying motherhood is becoming increasingly common, raising questions of the possible influence that maternal age may have on newborn health. Therefore, the objective of this study was to determine the association between maternal age and different newborn health parameters. An observational study was conducted in Spain on primiparous women and their infants. Data were collected on newborn health variables, breastfeeding, and different clinical practices that are beneficial for child health and development. Crude and adjusted mean differences were calculated along with the standard error of the mean. A total of 373 women and their children participated. In terms of early commencement skin-to-skin contact, the mean age of women that did skin-to-skin contact was 29.95 ± 0.31 years compared to 31.49 ± 0.66 years in those that did not ( = 0.042). In terms of other newborn parameters, such as preterm birth, health problems or complications, or the need for hospital admission, these were more frequent in the oldest group of mothers, but the differences found were not significant ( > 0.05). Hence, indicators of newborn morbidity were not found to be significantly associated with maternal age; however, beneficial practices such as early commencement skin-to-skin contact were found to be significantly associated with maternal age.

摘要

推迟生育正变得越来越普遍,这引发了人们对于母亲年龄可能对新生儿健康产生影响的疑问。因此,本研究旨在确定母亲年龄与新生儿健康参数之间的关联。在西班牙对初产妇及其婴儿进行了一项观察性研究。收集了新生儿健康变量、母乳喂养以及对儿童健康和发育有益的不同临床实践的数据。计算了粗均值差异和均值标准误以及调整后的均值差异。共有 373 名妇女及其子女参与了该研究。在早期开始皮肤接触方面,进行皮肤接触的妇女的平均年龄为 29.95 ± 0.31 岁,而未进行皮肤接触的妇女的平均年龄为 31.49 ± 0.66 岁( = 0.042)。在其他新生儿参数方面,如早产、健康问题或并发症,或需要住院治疗,这些在年龄最大的母亲群体中更为常见,但发现的差异没有统计学意义( > 0.05)。因此,新生儿发病率的指标与母亲年龄没有明显关联;然而,与母亲年龄显著相关的是有益的实践,如早期开始皮肤接触。

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