Büyükeren Melek, Karanfil Yaman Fikriye
Clinic of Pediatrics, Division of Neonatology, Konya City Hospital, Konya, Turkey.
Clinic of Obstetrics and Gynecology, Konya City Hospital, Konya, Turkey.
J Turk Ger Gynecol Assoc. 2024 Mar 6;25(1):7-12. doi: 10.4274/jtgga.galenos.2023.2022-10-1.
The aim was to compare neonatal outcomes according to cell phone specific absorption rate (SAR) levels and daily time spent on cell phones by pregnant women.
Women who gave birth at Konya City Hospital between September 2020 and February 2021 were included in this retrospective study. Gestational ages, birth weight, birth length, head circumference, sex, 5-minute APGAR scores, neonate postpartum resuscitation requirement, delivery type, the model of phone used by the pregnant women, and the average time spent on the phone during a day were recorded. To determine the relation between the SAR values of the phones used and delivering a small for gestational age (SGA) baby, receiver operating characteristic curve analysis was performed.
In total 1495 pregnant women were included. The rate of delivering a SGA fetus was significantly higher in women who used phones with higher SAR values (p=0.001). The cut-off value for the SAR level was 1.23 W/kg with 69.3% sensitivity and 73.0% specificity (area under the curve: 0.685; 95% confidence interval: 0.643-0.726). No correlation was found between time spent on the phone and SGA birth rate. Although both phone SAR values and time spent on the phone were higher in the symmetrical SGA group compared to the asymmetrical SGA group, the difference was not significant (p>0.05). Although the women who had preterm delivery had higher phone SAR values and had spent more time on the phone compared to those who had term deliveries, the difference was again not significant (p>0.05).
As the SAR values of cell phones used during pregnancy increased, there was a trend towards delivering a SGA baby.
比较孕妇手机特定吸收率(SAR)水平及每日使用手机时长与新生儿结局之间的关系。
本回顾性研究纳入了2020年9月至2021年2月在科尼亚市医院分娩的女性。记录孕周、出生体重、出生身长、头围、性别、5分钟阿氏评分、新生儿产后复苏需求、分娩方式、孕妇使用的手机型号以及每日平均使用手机时长。为确定所使用手机的SAR值与分娩小于胎龄(SGA)儿之间的关系,进行了受试者工作特征曲线分析。
共纳入1495名孕妇。使用SAR值较高手机的女性分娩SGA胎儿的比例显著更高(p = 0.001)。SAR水平的截断值为1.23W/kg,灵敏度为69.3%,特异度为73.0%(曲线下面积:0.685;95%置信区间:0.643 - 0.726)。未发现使用手机时长与SGA出生率之间存在相关性。尽管对称SGA组的手机SAR值和使用手机时长均高于不对称SGA组,但差异不显著(p>0.05)。尽管早产女性的手机SAR值较高且使用手机时长多于足月分娩女性,但差异同样不显著(p>0.05)。
孕期使用手机的SAR值增加时,有分娩SGA婴儿的趋势。