三维超声检查和三维打印图像对母婴依恋的影响及其与孕期总体吸烟情况的相关性：一项初步研究。

Effects of 3D ultrasonography and 3D printed images on maternal-fetal attachment and its correlation with overall smoking within pregnancy: a pilot study.

作者信息

Coté John J, Coté Remington D, Dilsaver Danielle B, Massey Suena H, Doehrman Pooja, Coté Brayden P, Kilzer Riley, Badura-Brack Amy S

机构信息

CHI Health/CommonSpirit Health, 16909 Lakeside Hills Ct, Suite 401, Omaha, NE, USA.

Department of Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, NE, USA.

出版信息

3D Print Med. 2024 Oct 30;10(1):35. doi: 10.1186/s41205-024-00238-7.

DOI:10.1186/s41205-024-00238-7

PMID:39475978

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524022/

Abstract

BACKGROUND

Smoking in pregnancy continues to cause significant morbidity to mothers and babies and contributes to tremendous costs to society. Maternal-fetal attachment (MFA) may differentiate smokers who quit or pregnant smokers from non-smokers. Researchers have recommended utilizing interventions that improve MFA to help decrease smoking within pregnancy.

METHODS

We performed a randomized clinical trial of pregnant smokers (n = 33) using an MFA-informed, intention-to-treat protocol. We recruited pregnant smokers and provided timeline follow back (TLFB) interviews from 27 weeks of pregnancy until 6 weeks post-partum. Salivary cotinine was also collected at five different time points. 3D ultrasonography was performed, and patients were randomly assigned a 3D picture or a 3D model of their fetus.

RESULTS

Overall, the average percent reduction in cigarette use was 37.03% (SD = 31.18). The main effect of 3D type was not significant (3D Model vs. 3D Print Estimate = -0.09, 95% CI: - 0.19 to 0.01, p = 0.066). A total of 4 patients (12%) quit smoking within one week of delivery. A 10% reduction in cigarette use was associated with a 30.57 g increase in birth weight (Estimate = 30.57, 95% CI: -14.15 to 75.29); a 10% reduction in cigarette use was associated with a 0.14 week increase in estimate gestational age at delivery (Estimate = 0.14, 95% CI: -0.01 to 0.28).

CONCLUSIONS

Patients who smoke in pregnancy decrease the number of cigarettes smoked after receiving either a 3D picture or 3D model of their fetus.

TRIAL REGISTRATION

clinicaltrials.gov (NCT04541121).

摘要

背景

孕期吸烟持续对母亲和婴儿造成严重伤害，并给社会带来巨大成本。母婴依恋（MFA）可能会区分戒烟的吸烟者或孕期吸烟者与非吸烟者。研究人员建议采用改善母婴依恋的干预措施，以帮助减少孕期吸烟。

方法

我们对孕期吸烟者（n = 33）进行了一项基于母婴依恋的随机临床试验，并采用意向性分析方案。我们招募了孕期吸烟者，并从孕27周直至产后6周进行时间线追溯（TLFB）访谈。还在五个不同时间点收集了唾液可替宁。进行了三维超声检查，并为患者随机分配其胎儿的三维图片或三维模型。

结果

总体而言，香烟使用量平均减少了37.03%（标准差 = 31.18）。三维类型的主要效应不显著（三维模型与三维打印估计值 = -0.09，95%置信区间：-0.19至0.01，p = 0.066）。共有4名患者（12%）在分娩后一周内戒烟。香烟使用量减少10%与出生体重增加30.57克相关（估计值 = 30.57，95%置信区间：-14.15至75.29）；香烟使用量减少10%与分娩时估计孕周增加0.14周相关（估计值 = 0.14，95%置信区间：-0.01至0.28）。