妊娠特异性应激是早产的风险因素

J. Pérez‐Molina, Aleyda Carolina Barajas-Serrano, Andrés Palomera-Chávez, J. G. Panduro-Barón, N. Quezada-Figueroa, G. Yanowsky-Reyes, J. Orozco-Pérez
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摘要

摘要早产(PB)具有多因素病因,社会心理压力可能是一个危险因素。目标。量化妊娠特定应激与PB的关系。材料和方法。2010年至2011年期间,在瓜达拉哈拉民用医院对254对早产儿母子和254对足月母子进行了病例对照研究。因变量为胎龄(24-36周)和妊娠特异性独立应激。胎龄用Capurro和Ballard方法确定。具体的怀孕压力是通过直接访谈来寻求的。我们询问了社会心理、产科和非法药物。用逻辑回归评估其相关性。结果。母亲年龄25±6岁。心理社会因素和药物使用频率相似。双变量分析中,孕前因素(OR: 1.98, CI95%: 1.17-3.36)、孕期疾病(OR: 1.49, CI95%: 1.03-2.17)、多胎妊娠(OR: 14.72, CI95%: 4.28-60.63)、剖宫产(OR: 4.93, CI95%: 3.26-7.48)、担心工作和家庭护理(OR: 1.60, CI95%: 1.01-2.55)、为婴儿支付衣食医药费(OR 1.55, CI95% 1.00-2.39)出现频率较高。多变量模型确定了与早产相关的协变量:担心新生儿的护理(OR 2.58, CI95% 1.21-5.47)和剖腹产(OR 5.59, CI95% 2.63-11.90)。讨论与结论。在与怀孕特定压力相关的变量中,只有担心对婴儿的照顾与PB有关,以及剖腹产。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Pregnancy-Specific Stress How Factor Risk for Preterm Birth
Citation: The Pregnancy-Specific Stress How Factor Risk for Preterm Abstract Preterm birth (PB) has a multifactorial etiology and psychosocial stress can be a risk factor. Objective. Quantify the as sociation of the specific stress of pregnancy with PB. Material and methods. A case-control study was conducted in 254 preterm mother-child dyads and 254 term dyads, between 2010 and 2011, at the Civil Hospital of Guadalajara. The dependent variable was PB (24-36 weeks of gestation) and the independent stress specific to pregnancy. Gestational age was confirmed with the Capurro and Ballard methods. The specific stress of pregnancy was sought by direct interview. We inquired about psychosocial, obstetric and illicit drugs. The association was evaluated with logistic regression. Results. The age of the mothers was 25 ± 6 years. The frequency of psychosocial factors and drug use was similar. In the bivariate analysis were more frequent in PB, antecedent of PB (OR: 1.98, CI95%: 1.17-3.36), diseases in pregnancy (OR: 1.49, CI95%: 1.03-2.17), multiple pregnancy (OR: 14.72, CI95%: 4.28-60.63), being born by caesarean section (OR: 4.93, CI95%: 3.26-7.48, worrying about work and family care (OR 1.60, CI95% 1.01-2.55) and paying for clothes, food and medical expenses of the baby (OR 1.55, CI95% 1.00-2.39). A multivariate model identified as covariates associated with PB to worry a lot about the care of the new baby (OR 2.58, CI95% 1.21-5.47) and to be born by caesarean section (OR 5.59, CI95% 2.63-11.90). Discussion and conclusion. Of the variables related to specific stress of pregnancy, only worry much about the care of the baby was associated with PB, as well as being born by cesarean section.
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