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本文引用的文献

1
alpha+-Thalassemia protects children against disease caused by other infections as well as malaria.α+地中海贫血可保护儿童免受其他感染以及疟疾所引起疾病的侵害。
Proc Natl Acad Sci U S A. 1997 Dec 23;94(26):14736-41. doi: 10.1073/pnas.94.26.14736.
2
The impact of a national impregnated bed net programme on the outcome of pregnancy in primigravidae in The Gambia.一项全国性浸渍蚊帐项目对冈比亚初产妇妊娠结局的影响。
Trans R Soc Trop Med Hyg. 1996 Sep-Oct;90(5):487-92. doi: 10.1016/s0035-9203(96)90289-8.
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Rates and risk factors for mortality during the first two years of life in rural Malawi.
Am J Trop Med Hyg. 1996;55(1 Suppl):82-6. doi: 10.4269/ajtmh.1996.55.82.
4
The effect of malaria and malaria prevention in pregnancy on offspring birthweight, prematurity, and intrauterine growth retardation in rural Malawi.疟疾及孕期疟疾预防对马拉维农村地区后代出生体重、早产和宫内生长迟缓的影响。
Am J Trop Med Hyg. 1996;55(1 Suppl):33-41. doi: 10.4269/ajtmh.1996.55.33.
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An incident case-referent study of threatening preterm birth and genital infection.
J Trop Pediatr. 1995 Oct;41(5):267-72. doi: 10.1093/tropej/41.5.267.
6
Birthweight and gestation of village deliveries in Papua New Guinea.巴布亚新几内亚农村分娩的出生体重与妊娠期
J Trop Pediatr. 1994 Feb;40(1):37-40. doi: 10.1093/tropej/40.1.37.
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Mefloquine prophylaxis prevents malaria during pregnancy: a double-blind, placebo-controlled study.
J Infect Dis. 1994 Mar;169(3):595-603. doi: 10.1093/infdis/169.3.595.
8
A review of randomized controlled trials of routine antimalarial drug prophylaxis during pregnancy in endemic malarious areas.疟疾流行地区孕期常规抗疟药物预防的随机对照试验综述。
Bull World Health Organ. 1994;72(1):89-99.
9
The relative contribution of prematurity and fetal growth retardation to low birth weight in developing and developed societies.早产和胎儿生长迟缓对发展中社会和发达社会低出生体重的相对影响。
Am J Obstet Gynecol. 1982 Aug 1;143(7):793-8. doi: 10.1016/0002-9378(82)90012-6.
10
Birthweight and perinatal mortality: II. On weight-specific mortality.出生体重与围产期死亡率：II. 关于特定体重死亡率。
Int J Epidemiol. 1983 Sep;12(3):319-25. doi: 10.1093/ije/12.3.319.

巴布亚新几内亚疟疾流行地区早产和宫内生长迟缓的原因。

Causes of preterm delivery and intrauterine growth retardation in a malaria endemic region of Papua New Guinea.

作者信息

Allen S J, Raiko A, O'Donnell A, Alexander N D, Clegg J B

机构信息

Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford.

出版信息

Arch Dis Child Fetal Neonatal Ed. 1998 Sep;79(2):F135-40. doi: 10.1136/fn.79.2.f135.

DOI:10.1136/fn.79.2.f135
PMID:9828741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1720830/
Abstract

AIM

To identify causes of preterm delivery and intrauterine growth retardation (IUGR) in a malaria endemic region of Papua New Guinea.

METHODS

Independent predictors of preterm delivery and birthweight in term infants were identified using multiple regression analysis in a prospective study of 987 singleton live births delivered in Madang Hospital.

RESULTS

Overall, Plasmodium falciparum infection of the placenta was associated with a reduction in birthweight of 130 g. Malaria was significantly more common in primigravidae than multigravidae and probably contributed to both preterm delivery and IUGR. Maternal haemoglobin concentrations were significantly lower in malaria infected than noninfected women and reduced haemoglobin was the main determinant of preterm delivery. Poorer maternal nutritional status and smoking were associated with both prematurity and IUGR. Greater antenatal clinic attendance predicted increased birthweight in term infants.

CONCLUSIONS

Protection against malaria during pregnancy, especially in primigravidae, improved nutrition in women and discouragement of smoking would probably reduce both preterm delivery and IUGR. Greater use of existing antenatal clinics might increase birthweight in term infants.

摘要

目的

确定巴布亚新几内亚疟疾流行地区早产和宫内生长受限（IUGR）的原因。

方法

在对马当医院分娩的987例单胎活产进行的前瞻性研究中，采用多元回归分析确定足月儿早产和出生体重的独立预测因素。

结果

总体而言，胎盘恶性疟原虫感染与出生体重降低130克有关。疟疾在初产妇中比经产妇中更为常见，可能导致早产和宫内生长受限。感染疟疾的孕妇血红蛋白浓度显著低于未感染的孕妇，血红蛋白降低是早产的主要决定因素。孕妇营养状况较差和吸烟与早产和宫内生长受限均有关。更多地到产前诊所就诊可预测足月儿出生体重增加。

结论

孕期预防疟疾，尤其是在初产妇中，改善妇女营养并劝阻吸烟可能会减少早产和宫内生长受限。更多地利用现有的产前诊所可能会增加足月儿的出生体重。