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Obstet Gynecol: 女性分娩的早晚与体重指数有关!!!

2016-11-01 fan.H MedSci原创

最近,妇产科领域权威杂志《obstetrics and gynecology》上发表了一篇很有意思的研究文章,该研究旨在探讨体重指数和分娩发动时机的关系。 该研究是通过母婴医疗网络对早产预测研究进行的再次分析。研究者通过运用时间-自发分娩的分析方法来研究体重指数与自发分娩启动时间的关系。研究对象根据体重指数的大小分为五个组:体重过轻(体重指数小于18.5 kg/m2)、正常体重

最近,妇产科领域权威杂志obstetrics and gynecology上发表了一篇很有意思的研究文章,该研究旨在探讨体重指数和分娩发动时机的关系。 

该研究是通过母婴医疗网络对早产预测研究进行的再次分析。研究者通过运用时间-自发分娩的分析方法来研究体重指数与自发分娩启动时间的关系。研究对象根据体重指数的大小分为五个组:体重过轻(体重指数小于18.5 kg/m2)、正常体重(18.5–24.99 kg/m2)、超重(25–29.99 kg/m2)、一度肥胖(30–34.99 kg/m2)和二度肥胖(大于35kg/m2),研究者采用对数秩检验比较了各组Kaplan Meier估计自发分娩的可能性。同时,调整了与分娩相关的多个变量后,采用比例风险模型来估计并比较自发分娩的时间。 

研究者发现正常体重的女性(n=1054)平均分娩孕周为39 3/7周。二度肥胖女性(n=178)平均分娩孕周龄要比正常体重妇女晚5天(P<0.001)。超重妇女(n=866)与一度肥胖妇女(n=548)的分娩孕周无明显差异。体重过轻的女性(n=41)平均分娩孕周比正常体重的女性要早5天(P<0.001)。与正常体重的女性相比,二度肥胖的女性明显不太可能而过瘦的女性更容易在足胎龄时进入自发分娩。在多变量模型中,体重指数与整个妊娠期间的自发分娩(体重指数调整后的危险比为0.874,0.829-0.921)有关。 

由此可见,体重指数与自发分娩的启动时机有关,而且体重指数与妊娠自发分娩的孕周呈负相关。 

原始出处: 

Hermesch, Amy C, et al. Body Mass Index and the Spontaneous Onset of Parturition. obstetrics and gynecology.2016.November 2016 - Volume 128 - Issue 5 - p 1033–1038 doi: 10.1097/AOG.0000000000001678 

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    2017-10-12 yhy100200
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    2016-11-04 小靖儿

    学习好多知识,赞一个

    0

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    2016-11-03 雅文博武

    学习了许多先进的医学知识

    0

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    2016-11-03 jyzxjiangqin

    女性分娩的早晚与体重指数有关。

    0

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    2016-11-03 linlin2312
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    2016-11-01 187清风

    那是要提前生了

    0

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