Korelācija starp nelabvēlīgu bērnības pieredzi nedēļnieču populācijā ar jaundzimušā dzimšanas svaru un sarežģījumiem grūtniecības laikā
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Aktualitāte: Nelabvēlīga bērnības pieredze var negatīvi ietekmēt pieaugušā veselību dažādos aspektos, skarot gan mentālo, gan fizisko labsajūtu. Četri vai vairāk ACE skalas punkti asociējas ar sliktāku prognozi. Pētījumi rāda, ka hronisks stress un smaga psihoemocionāla trauma grūtniecības laikā var veicināt zemu dzimšanas svaru un priekšlaicīgas dzemdības.
Mērķis: Izpētīt ACE izplatību nedēļnieču populācijā un tā korelāciju ar jaundzimušā dzimšanas svaru un grūtniecības komplikācijām.
Materiāli un metodes: Prospektīvs pētījums. Pētījuma grupā bija Rīgas Dzemdību namā un Paula Stradiņa klīniskās universitātes slimnīcā laika posmā no 01.11.2019. līdz 17.01.2020. hospitalizētas sievietes pēc dzemdībām. Pētījuma metode bija anketa, kas sastāvēja no antropoloģiskiem, sociālās dzīves jautājumiem un ACE pētījuma anketas. Datu analīze tika veikta IBM SPSS un MS Excel datorprogrammās.
Rezultāti: Kopumā analizētas 110 dalībnieču anketas, vidējais sieviešu vecums bija 30.74 gadi, vecuma grupa 20-42 gadi. No visām respondentēm 22 nedēļniecēm ACE skalas punkti bija četri un vairāk (grupa 1) un 88 sievietēm tie bija mazāk par četri (grupa 2). 81 sieviete anketā atzīmēja vismaz 1 ACE skalas punktu. Analizējot datus pēc domēniem, 67,27% no sievietēm piedzīvoja ģimenes disfunkciju, 36,60% piedzīvoja vardarbību ģimenē un 14,54% saskārās ar atstāšanu novārtā. Vidējais jaundzimušā dzimšanas svars grupā 1 bija 3602,8 g un 3625,0 g grupā 2 (p>0,05). Grūtniecības komplikāciju biežums grupā 1 un grupā 2 bija attiecīgi 68,2 % un 69,3% (p>0,05).
Secinājumi: Neveidojas statistiski ticama atšķirība starp ACE punktiem, jaundzimušā dzimšanas svaru un grūtniecības komplikācijām. Visbiežāk sastopamamā nelabvēlīgā pieredze bērnībā ir vecāku šķiršanās, kam seko alkoholiķis ģimenē.
Objectives. ACE has an impact on adult’s life in different health outcomes, including mental and physical wellbeing. ACE scores of ≥ 4 are associated with the highest risk for negative outcomes. Publications show that chronic stress and sever trauma during pregnancy can cause low birth weight and preterm birth. The aim of the study was to investigate ACE prevelence among women in postnatal period and it’s correlation with newborn birth weight and pregnancy complications. Materials and methods. The prospective study included women who were hospitalized in Pauls Stradins clinical university hospital obstetric department and Riga Maternity hospital in a time period 01.11.2019. – 17.01.2020. The research method was a questionaire that consisted of antropological, social life questions and an ACE Study questionaire. An analysis of the data was performed using IBM SPSS statistics and MS Excel. Results. In total there were 110 respondents, mean age was 30.74 years, age group 20 - 42. Out of all respondents, 22 got an ACE score of 4 (group 1) and 88 women got less (group 2). 81 women had at least 1 ACE point. By domain, 67, 27% of women experienced household dysfunction, 36, 6% had been abused, and 14, 54% had been neglected. Average newborn weight in group 1 was 3602,8 g and 3625,0 g in group 2 (p >0, 05). The difference between pregnancy complications occurrence in the two groups was 68,2 % and 69,3% (p> 0, 05). Conclusion. There was not a statistically relevant correlation between ACE score and birth weight and pregnancy complications. The most common reported event was divorsed parents followed by an alcoholic in the family.
Objectives. ACE has an impact on adult’s life in different health outcomes, including mental and physical wellbeing. ACE scores of ≥ 4 are associated with the highest risk for negative outcomes. Publications show that chronic stress and sever trauma during pregnancy can cause low birth weight and preterm birth. The aim of the study was to investigate ACE prevelence among women in postnatal period and it’s correlation with newborn birth weight and pregnancy complications. Materials and methods. The prospective study included women who were hospitalized in Pauls Stradins clinical university hospital obstetric department and Riga Maternity hospital in a time period 01.11.2019. – 17.01.2020. The research method was a questionaire that consisted of antropological, social life questions and an ACE Study questionaire. An analysis of the data was performed using IBM SPSS statistics and MS Excel. Results. In total there were 110 respondents, mean age was 30.74 years, age group 20 - 42. Out of all respondents, 22 got an ACE score of 4 (group 1) and 88 women got less (group 2). 81 women had at least 1 ACE point. By domain, 67, 27% of women experienced household dysfunction, 36, 6% had been abused, and 14, 54% had been neglected. Average newborn weight in group 1 was 3602,8 g and 3625,0 g in group 2 (p >0, 05). The difference between pregnancy complications occurrence in the two groups was 68,2 % and 69,3% (p> 0, 05). Conclusion. There was not a statistically relevant correlation between ACE score and birth weight and pregnancy complications. The most common reported event was divorsed parents followed by an alcoholic in the family.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Nelabvēlīga bērnības pieredze (ACE), mātes mentālā veselība, grūtniecības riska faktori, Adverse childhood experience (ACE), maternal mental health, gestational risk
factors