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この研究成果の引用には次のURIを利用してください。: http://hdl.handle.net/10285/13547

種類: Thesis or Dissertation
タイトル: The Difference of Growth and Development in Babies born from Mothers with and without Labor Anesthesia
タイトル別表記: 無痛分娩と自然分娩による児の成長及び女性の背景の違いに関する研究
著者: 寺田, 麻里
著者名ヨミ: テラダ, マリ
指導教官: 小林, 大輝
キーワード: obstetric analgesia
labor pain
natural childbirth
adverse effects
child development
調査法・尺度: psychomotor performance
発行年月日: 2020年3月
抄録: ackground: Labor pain can be detrimental to a mother and her fetus, causing adverse neonatal outcomes. Neuraxial labor analgesia, usually provided by epidural and/or spinal anesthesia, is regarded as the most effective method of mitigating labor pain. However, there is evidence that the procedure itself can sometimes cause adverse outcomes. Whether these adverse outcomes cause long-term disadvantage, is not fully investigated. Methods: The study was a retrospective cohort study. Electronic health records of a private hospital in Tokyo were utilized to examine the effect of labor analgesia on infant development. Births that occurred between April 2017 and June 2018 were identified, and pairs of mother and infant were enrolled. Then, the study population was divided into Labor analgesia (LA) and non-LA groups, and outcomes were compared. The primary outcome was developmental outcomes, evaluated by infant’s response to stimuli, motor function and cognitive function. Physical development such as weight and height, were also compared. Results: The study population consisted of 975 pairs, 676 in non-LA group, and 299 in LA group. No evidence of developmental retardation was found at 1, 3, 6, 9, and 12 months of age in LA group, compared to non-LA group. The ability to crawl and pull up oneself was significantly more achieved in LA group at 9 months of age after adjusting the confounders: Adjusted OR 1.63 (95% CI 1.07–2.50; p=0.023) and 1.61 (95% CI 1.03–2.52; p=0.039), respectively. Conclusion: No evidence of poor developmental outcome was found up to 1-year old. The findings from this study are valuable as an evidence to later outcomes of infants born in LA are scarce.
本文の種類: none
リンクURL: http://hdl.handle.net/10285/13547
出現コレクション:実践課題 - Capstone Project





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