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产前和产后手机暴露会增加母婴和儿童不良结局的风险吗?

Can Prenatal and Postnatal Cell Phone Exposure Increase Adverse Maternal, Infant and Child Outcomes?

机构信息

Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Rev Bras Ginecol Obstet. 2021 Nov;43(11):870-877. doi: 10.1055/s-0041-1736173. Epub 2021 Dec 6.

Abstract

OBJECTIVE

To determine the association between maternal mobile phone use and adverse outcomes in infants, children, and mothers.

METHOD

In March 202, we conducted a search on the MEDLINE, Embase, and Scopus databases. Data extraction and an assessment of the quality of the studies were performed by two authors. The quality of the studies was assessed using the checklist of the Newcastle-Ottawa scale.

RESULTS

Studies assessing behavioral problems in infants aged 6 to 18 months reported null findings. However, an increased risk of emotional and behavioral disorders was observed in children aged between 7 and 11 years whose mothers had been exposed to cell phones. The findings regarding the association between maternal cell phone exposure and adverse outcomes in children aged 3 to 5 are controversial. A study found a significant association between the call time ( = 0.002) or the history of mobile phone use (in months) and speech disorders in the children ( = 0.003). However, another study found that maternal cell phone use during pregnancy was not significantly associated with child psychomotor and mental developments. Inconclusive results were observed about the adverse outcomes in fetuses, such as fetal growth restriction or t scores for birth weight in cell phone users as opposed to non-users. On the contrary, the children of mothers who were cell phone users had a lower risk of scoring low on motor skills. Similar results were observed regarding the adverse outcomes of cell phone use in infants, such as fetal growth restriction or low birth weight, and the risk of preeclampsia was lower among subjects with medium and high cell phone exposure, as opposed to those with low exposure.

CONCLUSION

Studies on behavioral problems have reported different postnatal results, such as null findings among infants and a positive association in children.

摘要

目的

确定母亲使用手机与婴儿、儿童和母亲不良结局之间的关联。

方法

2023 年 3 月,我们在 MEDLINE、Embase 和 Scopus 数据库中进行了检索。两位作者对数据进行提取并评估研究质量。使用纽卡斯尔-渥太华量表的清单评估研究质量。

结果

评估 6 至 18 个月大婴儿行为问题的研究报告结果为无关联。然而,母亲暴露于手机的 7 至 11 岁儿童中,观察到情绪和行为障碍的风险增加。关于母亲手机暴露与 3 至 5 岁儿童不良结局之间关联的研究结果存在争议。一项研究发现,通话时间(=0.002)或手机使用史(以月为单位)与儿童言语障碍之间存在显著关联(=0.003)。然而,另一项研究发现,母亲怀孕期间使用手机与儿童精神运动和智力发育无显著关联。关于手机使用者与非使用者胎儿生长受限或体重 t 评分等不良结局,观察到不确定的结果。相反,母亲使用手机的儿童运动技能评分较低的风险较低。关于手机使用对婴儿的不良结局,如胎儿生长受限或低出生体重,以及子痫前期风险较低的结果与上述结果相似,与低暴露相比,中高暴露的受试者中观察到这些结果。

结论

关于行为问题的研究报告了不同的产后结果,例如婴儿的无关联结果和儿童的阳性关联。

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Mobile phone use during pregnancy: Which association with fetal growth?怀孕期间使用手机:与胎儿生长有何关联?
J Gynecol Obstet Hum Reprod. 2020 Oct;49(8):101852. doi: 10.1016/j.jogoh.2020.101852. Epub 2020 Jul 2.

本文引用的文献

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Prenatal and Postnatal Cell Phone Exposures and Headaches in Children.儿童产前和产后手机暴露与头痛
Open Pediatr Med Journal. 2012 Dec 5;6(2012):46-52. doi: 10.2174/1874309901206010046.

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