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短生育间隔对不良妊娠结局的影响——中国北京市海淀区,2017 - 2019年

Effects of Short Interpregnancy Intervals on Adverse Pregnancy Outcomes - Haidian District, Beijing Municipality, China, 2017-2019.

作者信息

Li Yuan, Gao Suhong, Wang Jiamei, An Hang, Zhang Le, Zhang Yali, Liu Xiaohong, Li Zhiwen

机构信息

Institute of Reproductive and Child Health, Peking University / Key Laboratory of Reproductive Health, National Health Commission of the People's Republic of China, Beijing, China.

Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.

出版信息

China CDC Wkly. 2023 Sep 1;5(35):767-772. doi: 10.46234/ccdcw2023.146.

DOI:10.46234/ccdcw2023.146
PMID:37745266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10515645/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Interpregnancy intervals (IPIs) that are either excessively long or short have been linked with an elevated risk of adverse perinatal outcomes. Presently, no pertinent guidelines have been established in China to provide clear direction with regard to optimal IPI.

WHAT IS ADDED BY THIS REPORT?: A brief interpregnancy interval may elevate the risk of miscarriage, postpartum hemorrhage, and fetal distress among expectant women.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: These results could inform prenatal consultations, guiding pregnant women towards an ideal interpregnancy interval of no less than 24 months.

摘要

关于该主题已知的信息有哪些?:孕期间隔(IPIs)过长或过短都与不良围产期结局风险升高有关。目前,中国尚未制定相关指南来明确最佳孕期间隔。

本报告新增了哪些内容?:孕期间隔过短可能会增加孕妇流产、产后出血和胎儿窘迫的风险。

对公共卫生实践有何启示?:这些结果可为产前咨询提供参考,引导孕妇选择不少于24个月的理想孕期间隔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ca1/10515645/21fb4c26d8ed/ccdcw-5-35-767-S1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ca1/10515645/21fb4c26d8ed/ccdcw-5-35-767-S1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ca1/10515645/21fb4c26d8ed/ccdcw-5-35-767-S1.jpg

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本文引用的文献

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Short interpregnancy intervals and risks for birth defects: support for the nutritional depletion hypothesis.短孕期间隔与出生缺陷风险:对营养耗竭假说的支持。
Am J Clin Nutr. 2021 Jun 1;113(6):1688-1699. doi: 10.1093/ajcn/nqaa436.
2
Effects of birth spacing on adverse childhood health outcomes: evidence from 34 countries in sub-Saharan Africa.出生间隔对儿童健康不良后果的影响:来自撒哈拉以南非洲 34 个国家的证据。
J Matern Fetal Neonatal Med. 2020 Oct;33(20):3501-3508. doi: 10.1080/14767058.2019.1576623. Epub 2019 Feb 10.
3
Short interpregnancy intervals and adverse perinatal outcomes in high-resource settings: An updated systematic review.
高资源环境下的短妊娠间隔与不良围产期结局:一项更新的系统评价。
Paediatr Perinat Epidemiol. 2019 Jan;33(1):O25-O47. doi: 10.1111/ppe.12503. Epub 2018 Oct 24.
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Short interpregnancy interval and poor fetal growth: Evaluating the role of pregnancy intention.短孕期间隔与胎儿生长发育不良:评估妊娠意愿的作用。
Paediatr Perinat Epidemiol. 2019 Jan;33(1):O73-O85. doi: 10.1111/ppe.12506. Epub 2018 Oct 16.
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Short interpregnancy interval and adverse birth outcomes in women of advanced age: a population-based study.短间隔妊娠与高龄产妇不良生育结局:基于人群的研究。
Ann Epidemiol. 2018 Sep;28(9):605-611. doi: 10.1016/j.annepidem.2018.06.007. Epub 2018 Jun 22.
6
Interpregnancy Interval and Risk of Adverse Pregnancy Outcomes: A Register-Based Study of 328,577 Pregnancies in Denmark 1994-2010.妊娠间隔与不良妊娠结局风险:1994-2010 年丹麦 328577 例妊娠的基于登记的研究。
Matern Child Health J. 2018 Jul;22(7):1008-1015. doi: 10.1007/s10995-018-2480-7.
7
Short interpregnancy interval increases the risk of preterm premature rupture of membranes and early delivery.妊娠间隔过短会增加胎膜早破和早产的风险。
J Matern Fetal Neonatal Med. 2018 Nov;31(22):3014-3020. doi: 10.1080/14767058.2017.1362384. Epub 2017 Aug 9.
8
Interpregnancy Interval and Adverse Perinatal Outcomes: A Record-Linkage Study Using the Manitoba Population Research Data Repository.妊娠间隔与不良围产期结局:一项使用曼尼托巴人口研究数据存储库的记录链接研究。
J Obstet Gynaecol Can. 2017 Jun;39(6):420-433. doi: 10.1016/j.jogc.2017.01.010. Epub 2017 Mar 28.
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Interpregnancy interval after live birth or pregnancy termination and estimated risk of preterm birth: a retrospective cohort study.活产或终止妊娠后的妊娠间隔与早产的估计风险:一项回顾性队列研究。
BJOG. 2016 Nov;123(12):2009-2017. doi: 10.1111/1471-0528.14165. Epub 2016 Jul 13.
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Influence of interpregnancy interval on birth timing.孕期间隔对分娩时机的影响。
BJOG. 2014 Dec;121(13):1633-40. doi: 10.1111/1471-0528.12891. Epub 2014 Jun 4.