产钳分娩对认知发育的影响。
The effect of forceps delivery on cognitive development.
作者信息
Wesley B D, van den Berg B J, Reece E A
机构信息
Department of Obstetrics, Gynecology, Temple University School of Medicine, Philadelphia, Pennsylvania.
出版信息
Am J Obstet Gynecol. 1993 Nov;169(5):1091-5. doi: 10.1016/0002-9378(93)90261-g.
OBJECTIVE
We evaluated the influence of forceps delivery on cognitive development of preschool children.
STUDY DESIGN
A cohort of 3413 children who were born at the Kaiser Permanente Medical Center in Oakland, California, were selected at age 5 for intelligence quotient testing with the Peabody Picture Vocabulary Test and the Raven Coloured Progressive Matrices. Data were analyzed by means of the Student t test to compare mean intelligence quotient scores of intervention modes of delivery with spontaneous delivery.
RESULTS
No significant difference in intelligence quotient was seen in 1192 children delivered by forceps (114 midforceps) compared with 1499 who were delivered spontaneously.
CONCLUSION
The association of forceps delivery with adverse cognitive development cannot be supported.
目的
我们评估了产钳助产对学龄前儿童认知发育的影响。
研究设计
选取了3413名在加利福尼亚州奥克兰市凯撒医疗中心出生的儿童，在他们5岁时用皮博迪图片词汇测验和瑞文彩色渐进矩阵测验进行智商测试。采用学生t检验分析数据，以比较产钳助产分娩方式与自然分娩的平均智商分数。
结果
1192名产钳助产儿童（其中114名中位产钳助产）与1499名自然分娩儿童的智商无显著差异。
结论
产钳助产与不良认知发育之间的关联得不到支持。
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