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剖宫产、真空吸引或产钳助产出生儿童在3至7岁期间的精神运动发育(作者译)

[Psychomotor development of children born operatively by Caesarian section, vacuum or forceps in the period between 3 and 7 years (author's transl)].

作者信息

Hohlweg-Majert P, Goyert A, Schmitt A

出版信息

Z Geburtshilfe Perinatol. 1979 Oct;183(5):375-83.

PMID:543186
Abstract

In the period between 1966 and 1977 9,591 children were born at the UFK, Mannheim, and of these 1.008 were operative deliveries (10.5%). Out of these children, 99 of those delivered by section, 39 by forceps, 140 by vacuum and 67 spontaneous births were examined in an alphabetically determined group (R) for mental and motor development. The means used for the follow-up investigation were the Kramer-Binet Intelligence Test, and careful questioning of the parents on their children's early development. No connection between the type of delivery and intelligence quotient could be determined. A mean IQ of 114.4 was found for those delivered by section, 116.6 for those by forceps, and 117.7 for thos delivered by vacuum. The spontaneously-born children had an IQ of 108.7. The IQ results determined were correlated with the following data: EPH-gestosis, alteration in the child's heart sounds, protracted birth and Apga. No significant differences in the intelligence or any delayed motor development could be found in relation to the comparative group.

摘要

1966年至1977年期间,9591名儿童在曼海姆的UFK出生,其中1008例为手术分娩(10.5%)。在这些儿童中,对按字母顺序确定的一组(R)中的99例剖宫产儿、39例产钳助产儿、140例真空吸引助产儿和67例顺产儿进行了智力和运动发育检查。随访调查采用的方法是克莱默-比内智力测试,并仔细询问父母关于孩子早期发育的情况。分娩方式与智商之间未发现关联。剖宫产儿的平均智商为114.4,产钳助产儿为116.6,真空吸引助产儿为117.7。顺产儿的智商为108.7。所确定的智商结果与以下数据相关:妊娠高血压综合征、儿童心音改变、产程延长和阿氏评分。与对照组相比,在智力或任何运动发育迟缓方面未发现显著差异。

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