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全球妊娠合作组织(CoLab)关于母亲患先兆子痫的后代短期和长期结局的研讨会:临床证据的范围综述。

The Global Pregnancy Collaboration (CoLab) symposium on short- and long-term outcomes in offspring whose mothers had preeclampsia: A scoping review of clinical evidence.

作者信息

Korzeniewski Steven J, Sutton Elizabeth, Escudero Carlos, Roberts James M

机构信息

Department of Family Medicine and Population Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States.

Magee-Womens Research Institute, Pittsburgh, PA, United States.

出版信息

Front Med (Lausanne). 2022 Aug 30;9:984291. doi: 10.3389/fmed.2022.984291. eCollection 2022.

DOI:10.3389/fmed.2022.984291
PMID:36111112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9470009/
Abstract

Preeclampsia is a maternal syndrome characterized by the new onset of hypertension after 20 weeks of gestation associated with multisystemic complications leading to high maternal and fetal/neonatal morbidity and mortality. However, sequelae of preeclampsia may extend years after pregnancy in both mothers and their children. In addition to the long-term adverse cardiovascular effects of preeclampsia in the mother, observational studies have reported elevated risk of cardiovascular, metabolic, cerebral and cognitive complications in children born from women with preeclampsia. Less clear is whether the association between maternal preeclampsia and offspring sequelae are causal, or to what degree the associations might be driven by fetal factors including impaired growth and the health of its placenta. Our discussion of these complexities in the 2018 Global Pregnancy Collaboration annual meeting prompted us to write this review. We aimed to summarize the evidence of an association between maternal preeclampsia and neurobehavioral developmental disorders in offspring in hopes of generating greater research interest in this important topic.

摘要

子痫前期是一种孕产妇综合征,其特征为妊娠20周后新发高血压,并伴有多系统并发症,导致孕产妇及胎儿/新生儿的高发病率和死亡率。然而,子痫前期的后遗症可能在妊娠结束多年后仍影响母亲及其子女。除了子痫前期对母亲长期的不良心血管影响外,观察性研究报告称,子痫前期女性所生孩子出现心血管、代谢、脑和认知并发症的风险升高。尚不清楚孕产妇子痫前期与后代后遗症之间的关联是否为因果关系,或者这种关联在多大程度上可能由胎儿因素驱动,包括生长受限及其胎盘健康状况。我们在2018年全球妊娠协作年会上对这些复杂性的讨论促使我们撰写了这篇综述。我们旨在总结孕产妇子痫前期与后代神经行为发育障碍之间存在关联的证据,以期激发对这一重要课题的更多研究兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725f/9470009/37dbe90094f9/fmed-09-984291-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725f/9470009/37dbe90094f9/fmed-09-984291-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725f/9470009/37dbe90094f9/fmed-09-984291-g0001.jpg

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本文引用的文献

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JAMA Netw Open. 2022 Jun 1;5(6):e2219203. doi: 10.1001/jamanetworkopen.2022.19203.
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Fetal cardiac alterations in the late-onset growth-restricted fetuses: A prospective case-control study.晚期生长受限胎儿的胎儿心脏改变:一项前瞻性病例对照研究。
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Maternal hypertensive disorders and neurodevelopmental disorders in offspring: a population-based cohort in two Nordic countries.
孕期患高血压母亲所生胎儿/新生儿尸检中的脑及脑血管组织学描述。一项病例对照研究。
Lancet Reg Health Am. 2024 Nov 27;41:100955. doi: 10.1016/j.lana.2024.100955. eCollection 2025 Jan.
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Early-onset preeclampsia/gestational hypertension may be associated with a low incidence of cerebral palsy at 3 years old in singleton very low-birth-weight infants born at 28-31 weeks of gestation (EOPE-DQ study): a multi-center retrospective cohort study in 2013-2016.早发型子痫前期/妊娠期高血压可能与孕28-31周出生的单胎极低出生体重儿3岁时脑瘫发病率较低有关(早发型子痫前期-丹麦队列研究):一项2013-2016年的多中心回顾性队列研究。
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Preeclampsia, Fetal Growth Restriction, and 24-Month Neurodevelopment in Very Preterm Infants.子痫前期、胎儿生长受限与极早产儿 24 月龄神经发育
JAMA Netw Open. 2024 Jul 1;7(7):e2420382. doi: 10.1001/jamanetworkopen.2024.20382.
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The prevention of adverse pregnancy outcomes by periodontal treatment during pregnancy (PROBE) intervention study-A controlled intervention study: Protocol paper.妊娠期牙周治疗预防不良妊娠结局(PROBE)干预研究——一项对照干预研究:方案论文。
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JAMA Psychiatry. 2020 Aug 1;77(8):823-829. doi: 10.1001/jamapsychiatry.2020.0306.
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Am J Obstet Gynecol. 2020 Jan;222(1):79.e1-79.e9. doi: 10.1016/j.ajog.2019.07.025. Epub 2019 Jul 20.