Dan Med J. 2020 Sep 4;67(10):A11190665.
The aim of this study was to assess the association between multivitamin intake during pregnancy and the risk of preterm birth and very preterm birth.
The study population comprised 15,629 women from the Copenhagen Pregnancy Cohort with data on pregnancy multivitamin intake during their first trimester who gave birth to singletons from October 2012 to October 2016. Data on pregnancy multivitamin intake were linked to the Medical Birth Registry to identify the birth outcome. The main outcome measures were preterm birth before 37 weeks of gestation and very preterm birth before 32 weeks of gestation.
Among the included women, 85.6% had taken daily pregnancy multivitamins during their first trimester. We found no evidence that pregnancy multivitamin intake during the first trimester was associated with a decreased risk of preterm birth (adjusted odds ratio (OR) = 1.01; 95% confidence interval (CI): 0.77-1.33) or very preterm birth (adjusted OR = 1.06; 95% CI: 0.63-1.77). Stratification for BMI into lesser-than 25 kg/m2 and ≥ 25 kg/m2 did not alter these findings.
Pregnancy multivitamin intake during the first trimester was not associated with a decreased risk of preterm birth or very preterm birth among women in a high-income population.
none.
not relevant.
本研究旨在评估孕妇在妊娠期间摄入多种维生素与早产和极早产风险之间的关联。
该研究人群包括来自哥本哈根妊娠队列的 15629 名女性,这些女性在妊娠 12 周时报告了其妊娠期间多种维生素的摄入情况,并于 2012 年 10 月至 2016 年 10 月期间单胎分娩。妊娠期间多种维生素的摄入数据与医疗出生登记处相关联,以确定出生结局。主要结局指标是妊娠 37 周前早产和妊娠 32 周前极早产。
在纳入的女性中,85.6%在妊娠 12 周时每日服用妊娠多种维生素。我们没有发现妊娠 12 周时摄入多种维生素与降低早产风险(调整后的优势比(OR)=1.01;95%置信区间(CI):0.77-1.33)或极早产风险(调整后的 OR = 1.06;95% CI:0.63-1.77)相关。按 BMI 分为小于 25kg/m2 和大于等于 25kg/m2 进行分层,并没有改变这些发现。
在高收入人群中,妊娠 12 周时摄入多种维生素与降低早产或极早产风险无关。
无。
不相关。