Medical and surgical complications in pregnancy and obstetric labour complications in the Japan Environment and Children's Study (JECS) cohort: a birth cohort study

被引：16

作者：

Yang, Limin ^{[1
]}

Yamamoto-Hanada, Kiwako ^{[1
]}

Ishitsuka, Kazue ^{[1
]}

Ayabe, Tadayuki ^{[1
]}

Mezawa, Hidetoshi ^{[1
]}

Konishi, Mizuho ^{[1
]}

Shoda, Tetsuo ^{[1
]}

Sago, Haruhiko ^{[2
]}

Saito, Hirohisa ^{[1
]}

Ohya, Yukihiro ^{[1
]}

Kawamoto, Toshihiro ^{[3
]}

Kishi, Reiko ^{[3
]}

Yaegashi, Nobuo ^{[4
]}

Hashimoto, Koichi ^{[5
]}

Mori, Chisato ^{[6
]}

Ito, Shuichi ^{[7
]}

Yamagata, Zentaro ^{[8
]}

Inadera, Hidekuni ^{[9
]}

Kamijima, Michihiro ^{[10
]}

Nakayama, Takeo ^{[11
]}

Iso, Hiroyasu ^{[12
]}

Shima, Masayuki ^{[13
]}

Hirooka, Yasuaki ^{[14
]}

Suganuma, Narufumi ^{[15
]}

Kusuhara, Koichi ^{[16
]}

Katoh, Takahiko ^{[17
]}

机构：

[1] Natl Ctr Child Hlth & Dev, Med Support Ctr Japan Environm & Childrens Study, Tokyo, Japan

[2] Natl Ctr Child Hlth & Dev, Dept Maternal Fetal & Neonatal Med, Tokyo, Japan

[3] Hokkaido Univ, Hokkaido Reg Ctr, JECS, Sapporo, Hokkaido, Japan

[4] Tohoku Univ, Miyagi Reg Ctr, JECS, Sendai, Miyagi, Japan

[5] Fukushima Med Univ, Fukushima Reg Ctr, JECS, Fukushima, Japan

[6] Chiba Univ, Chiba Reg Ctr, JECS, Chiba, Japan

[7] Yokohama City Univ, JECS, Kanagawa Reg Ctr, Yokohama, Kanagawa, Japan

[8] Univ Yamanashi, JEC, Koshin Reg Ctr, Chuo, Japan

[9] Univ Toyama, Toyama Reg Ctr, JECS, Toyama, Japan

[10] Nagoya City Univ, JECS, Aichi Reg Ctr, Nagoya, Aichi, Japan

[11] Kyoto Univ, Kyoto Reg Ctr, JECS, Kyoto, Japan

[12] Osaka Univ, Osaka Reg Ctr, JECS, Suita, Osaka, Japan

[13] Hyogo Coll Med, Hyogo Reg Ctr, JECS, Nishinomiya, Hyogo, Japan

[14] Tottori Univ, Tottori Reg Ctr, JECS, Yonago, Tottori, Japan

[15] Kochi Univ, JECS, Kochi Reg Ctr, Nankoku, Kochi, Japan

[16] Univ Occupat & Environm Hlth, JECS, Fukuoka Reg Ctr, Kitakyushu, Fukuoka, Japan

[17] Kumamoto Univ, South Kyushu Okinawa Reg Ctr, JECS, Kumamoto, Japan

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2020年 / 40卷 / 07期

关键词：

Children; birth cohort; environment; pregnancy complications; gestational hypertension; gestational diabetes; MATERNAL THYROID-DEFICIENCY; SUBCLINICAL HYPOTHYROIDISM; DISEASE; ASSOCIATION; PREVALENCE; MANAGEMENT;

D O I：

10.1080/01443615.2019.1673709

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This study aimed to describe the distribution of pregnancies with medical and obstetric complications based on the Japan Environment and Children's Study (JECS). We evaluated the distribution of the history of obstetric/gynaecological diseases, the history of obstetric labour complications, pregnancy with medical and surgical complications, and obstetric labour complications in participants in the JECS. Of 100,818 pregnant women with medical record entries after delivery, 15,305 (15.2%) had medical and surgical complications in pregnancy and 46,756 (46.4%) experienced obstetric labour complications. The proportion of pregnancies with heart disease, kidney disease and hepatitis was 0.3%, 0.3% and 0.1%, respectively. Gestational diabetes was diagnosed in 2715 (2.7%) women. The proportion of women with mild and severe gestational hypertension was 2.3% and 1%, respectively. The JECS is the largest birth cohort in Japan. These data will provide useful, basic information for perinatal care in Japan.IMPACT STATEMENT What is already known on this subject? Epidemiological studies have suggested that pre-existing diseases and complications of pregnancy, such as heart disease in pregnancy, gestational hypertension and gestational diabetes, may have implications for pregnancy outcomes, as well as for children's health and development. What the results of this study add? We evaluated the distribution of the history of obstetric/gynaecological diseases, the history of obstetric labour complications, medical and surgical complications in pregnancy, and obstetric labour complications using data from the Japan Environment and Children's Study (JECS).

引用

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页码：918 / 924

页数：7

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