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高危和低危妊娠婴儿在 6 个月时的神经发育情况。

Neurodevelopment of high and low-risk pregnancy babies at 6 months of age.

机构信息

Mind, Brain and Behaviour Centre (CIMCYC). Faculty of Psychology, University of Granada, Granada, Spain; Personality, Assessment and Psychological Treatment Department, Faculty of Psychology, University of Granada, Granada, Spain.

Nursing Department. Faculty of Health Sciences, University of Granada, Granada, Spain.

出版信息

Midwifery. 2020 Oct;89:102791. doi: 10.1016/j.midw.2020.102791. Epub 2020 Jul 5.

DOI:10.1016/j.midw.2020.102791
PMID:32645601
Abstract

OBJECTIVE

to compare neurodevelopment differences between babies born from low-risk pregnancies and babies born from high-risk pregnancies.

STUDY DESIGN

Longitudinal design SETTING: Spain PARTICIPANTS: A total of 91 women participated in the study, divided into two groups: 49 women in the low-risk pregnancy group and 42 women in the high-risk group.

MEASUREMENT AND FINDINGS

The average amount of cortisol in pregnant mothers' hair was determined in both groups. Following their birth, the babies' neurodevelopment was evaluated using the Bayley-III instrument at 6 months of age and a new sample of cortisol was obtained from both the baby and the mother. The results showed that pregnancy risk group could predict cognitive, fine motor, gross motor and general motor neurodevelopment.

KEY CONCLUSIONS

These results seem to show that an appropriate treatment tailored to the needs of individualised pregnancies may favor babies' neurodevelopment, including that of babies born from high-risk pregnancies.

IMPLICATIONS FOR RESEARCH

It is essential to take special care of pregnant women no matter their medical condition and offer them the best medical care available.

摘要

目的

比较低风险妊娠婴儿和高风险妊娠婴儿的神经发育差异。

研究设计

纵向设计

地点

西班牙

参与者

共有 91 名妇女参与了这项研究,分为两组:低风险妊娠组 49 名妇女和高风险组 42 名妇女。

测量和发现

在两组中均测定了孕妇头发中皮质醇的平均含量。出生后,在 6 个月大时使用贝利-III 工具评估婴儿的神经发育,并从婴儿和母亲身上获得新的皮质醇样本。结果表明,妊娠风险组可以预测认知、精细运动、粗大运动和一般运动神经发育。

主要结论

这些结果似乎表明,针对个体化妊娠需求的适当治疗可能有利于婴儿的神经发育,包括高风险妊娠婴儿的神经发育。

研究意义

无论孕妇的健康状况如何,都必须特别照顾孕妇,并为她们提供最好的医疗服务。

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