The relationship between fetal umbilical cord entanglement and environmental exposure factors

YUE He-xin; LI Xiao-xiu; ZHAN Yong-le; CHEN Yun-li; SHI Ying-jie; LIU Xuan; JING Ao; MENG Yao-han; LYU Tian-chen; QU Yi-min; MA Liang-kun; MAN Dong-mei; JIANG Yu

doi:10.16462/j.cnki.zhjbkz.2021.02.003

Volume 25 Issue 2

Feb. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(2): 133-137

YUE He-xin, LI Xiao-xiu, ZHAN Yong-le, CHEN Yun-li, SHI Ying-jie, LIU Xuan, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MAN Dong-mei, JIANG Yu. The relationship between fetal umbilical cord entanglement and environmental exposure factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 133-137. doi: 10.16462/j.cnki.zhjbkz.2021.02.003

Citation:

YUE He-xin, LI Xiao-xiu, ZHAN Yong-le, CHEN Yun-li, SHI Ying-jie, LIU Xuan, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MAN Dong-mei, JIANG Yu. The relationship between fetal umbilical cord entanglement and environmental exposure factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 133-137. doi: 10.16462/j.cnki.zhjbkz.2021.02.003

Citation:

YUE He-xin, LI Xiao-xiu, ZHAN Yong-le, CHEN Yun-li, SHI Ying-jie, LIU Xuan, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MAN Dong-mei, JIANG Yu. The relationship between fetal umbilical cord entanglement and environmental exposure factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 133-137. doi: 10.16462/j.cnki.zhjbkz.2021.02.003

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The relationship between fetal umbilical cord entanglement and environmental exposure factors

doi: 10.16462/j.cnki.zhjbkz.2021.02.003

1.
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
2.
Department of Pediatrics, Dongguan Maternal and Child Health Care Hospital, Dongguan 523000, China
3.
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, China
4.
Department of Obstetrics, Affiliated Hospital of Jining Medical University, Jining 272000, China

YUE He-xin and LI Xiao-xiu contributed equally to this article

Funds:

CAMS Innovation Fund for Medical Sciences (CIFMS) 2019-I2M-2-007

More Information

Corresponding author: MAN Dong-mei, E-mail: mandongmei@163.com; JIANG Yu, E-mail:jiangyu@pumc.edu.cn
Received Date: 2020-12-30
Rev Recd Date: 2021-01-07
Publish Date: 2021-02-10

Abstract

Abstract

Objective To understand the incidence of fetal umbilical cord entanglement in China and its correlation with environmental exposure factors, so as to provide scientific guidance for prevention and intervention of umbilical cord entanglement. Methods The pregnant women of the Chinese Pregnant Women Cohort Study were selected as the research subjects. The general demographic information and environmental exposure information of pregnant women were collected in the early pregnancy, and the related outcomes of umbilical cord entanglement were obtained by follow-up. Multivariate unconditional Logistic regression analysis model was used to analyze the influencing factors of fetal umbilical cord entanglement. Results The incidence of fetal umbilical cord entanglement was 9.00%. The results of Logistic regression analysis showed that after adjusting for confounding factors, pregnant women exposed to passive smoking (OR=1.199, 95% CI: 1.010-1.423, P=0.038) or noise (OR=1.242, 95% CI: 1.002-1.541, P=0.048) had a higher risk of umbilical cord entanglement than those who were not exposed to passive smoking or noise during pregnancy. Conclusions Passive smoking and exposure to noise during pregnancy can affect fetal umbilical cord entanglement. Education during pregnancy should be strengthened to reduce passive smoking and noise exposure during pregnancy.
- regnant women,
- Cord entanglement,
- Influencing factor

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References(25)

References

[1]	杨帆, 张慧香.孕37周后正常胎儿脐血流与胎儿脐带绕颈脐血流的对比超声研究[J].影像研究与医学应用, 2020, 4(22):137-138. Yang F, Zhang HX. Comparison of umbilical cord blood flow with umbilical cord blood flow around the neck after 37 weeks of gestation by ultrasound[J]. Journal of Imaging Research and Medical Applications, 2020, 4(22):137-138.
[2]	乐杰, 谢幸, 丰有吉, 等.妇产科学[M].第6版.北京:人民卫生出版社, 2006:143-144, 234. Le J, Xie X, Feng YJ, et al. Obstetrics and Gynecology[M]. The 6th edition. Beijing: people's Health Publishing House, 2006:143-144, 234.
[3]	Carey JC, Rayburn WF. Nuchal cord encirclements and risk of stillbirth[J]. Int J Gynaecol Obstet, 2000, 69(2):173-174. DOI: 10.1016/s0020-7292(99)00219-2.
[4]	Linde LE, Rasmussen S, Kessler J, et al. Extreme umbilical cord lengths, cord knot and entanglement: risk factors and risk of adverse outcomes, a population-based study[J]. PLoS One, 2018, 13(3):e0194814. DOI: 10.1371/journal.pone.0194814.
[5]	张越.胎儿脐带缠绕的社会心理因素分析[D].大连: 大连医科大学, 2008. Zhang Y. Study of the social psychology factors for umbilical cord encirclement[D]. Dalian: Dalian Medical University, 2008.
[6]	童春, 魏瑗, 龚丽君, 等.双胎输血综合征胎儿镜术后脐带缠绕1例报告[J].中国微创外科杂志, 2017, 17(10):951-953. DOI: 10.3969/j.issn.1009-6604.2017.10.027. Tong C, Wei Y, Gong LJ, et al. Cord entanglement after laser surgery for twin-twin transfusion syndrome: case report[J]. Chin J Min Inv Surg, 2017, 17(10):951-953. DOI: 10.3969/j.issn.1009-6604.2017.10.027.
[7]	Wang Y, Ma H, Feng Y, et al. Association among pre-pregnancy body mass index, gestational weight gain and neonatal birth weight: a prospective cohort study in china[J]. BMC Pregnancy Childbirth, 2020, 20(1):690. DOI: 10.1186/s12884-020-03323-x.
[8]	Zhan Y, Ma H, Feng Y, et al. Dietary patterns in relation to gestational depression and sleep disturbance in Chinese pregnant women[J]. J Obstet Gynaecol Res, 2020, 46(12):2618-2628. DOI: 10.1111/jog.1450.
[9]	岳和欣, 冯雅慧, 湛永乐, 等.孕期环境暴露对早产和低出生体重影响的队列研究[J].中华疾病控制杂志, 2020, 24(11):1246-1251. DOI: 10.16462/j.cnki.zhjbkz.2020.11.002. Yue HX, Feng YH, Zhan YL, et al. Effects of environmental exposure during pregnancy on preterm birth and low birth weight: a cohort study[J]. Chin J Dis Control Prev, 2020, 24(11):1246-1251. DOI: 10.16462/j.cnki.zhjbkz.2020.11.002.
[10]	中华人民共和国国家卫生和计划生育委员会. WS/T 428-2013成人体重判定[S].北京: 中国标准出版社, 2013 National Health and Family Planning Commission of the People's Republic of China. Health industry standard: Criteria of weight for adults[S]. Beijing: Chinese Standards Press, 2013.
[11]	杨功焕, 马杰民, 刘娜, 等.中国人群2002年吸烟和被动吸烟的现状调查[J].中华流行病学杂志, 2005, 26(2):77-83. DOI: 10.3760/j.issn:0254-6450.2005.02.001. Yang GH, Ma JM, Liu N, et al. Smoking and passive smoking in Chinese, 2002[J]. Chin J Epidemiol, 2005, 26(2):77-83. DOI: 10.3760/j.issn:0254-6450.2005.02.001.
[12]	周军.噪声的危害以及防护措施[J].防灾博览, 2019, (6):62-65. Zhou J. Hazards of noise and protective measures[J]. Overview of Disaster Prevention, 2019, (6):62-65.
[13]	湛永乐, 石英杰, 陈云利, 等.孕育史对孕期抑郁影响的前瞻性队列研究[J].中华疾病控制杂志, 2020, 24(3):324-329. DOI: 10.16462/j.cnki.zhjbkz.2020.03.015. Zhan YL, Shi YJ, Chen YL, et al. Influence of reproduction history on depression during pregnancy: a prospective cohort study[J]. Chin J Dis Control Prev, 2020, 24(3):324-329. DOI: 10.16462/j.cnki.zhjbkz.2020.03.015.
[14]	湛永乐, 石英杰, 陈云利, 等.中国6 916名孕早期妇女慢性病患病现状及影响因素分析[J].中国慢性病预防与控制, 2019, 27(8):565-569, 574. DOI: 10.16386/j.cjpccd.issn.1004-6194.2019.08.002. Zhan YL, Shi YJ, Chen YL, et al. Prevalence and influence factors of chronic diseases in 6 916 early pregnant women of China[J]. Chin J Prev Contr Chron Dis, 2019, 27(8):565-569, 574. DOI: 10.16386/j.cjpccd.issn.1004-6194.2019.08.002.
[15]	张静媛, 张巍颖, 郭美英.脐带缠绕的风险因素及围产儿结局[J].中国现代医药杂志, 2007, 9(2):42-44. Zhang JY, Zhang WY, Guo MY. Factors of cord entanglement at risk and the outcomes of perinatal fetuses[J]. Mod Med J China. 2007, 9(2):42-44.
[16]	Walla T, Rothschild MA, Schmolling JC, et al. Umbilical cord entanglement's frequency and its impact on the newborn[J]. Int J Legal Med, 2018, 132(3):747-752. DOI: 10.1007/s00414-017-1746-8.
[17]	李红萍.脐带缠绕产程中持续胎心监护100例临床分析[J].中国当代医药, 2011, 18(19):188-189. Li HP. Clinical analysis of 100 cases of continuous fetal heart rate monitoring during the stage of labor with cord entanglement[J]. China Modern Medicine, 2011, 18(19):188-189.
[18]	Nkwabong E, Ndoumbe Mballo J, Dohbit JS. Risk factors for nuchal cord entanglement at delivery[J]. Int J Gynaecol Obstet, 2018, 141(1):108-112. DOI: 10.1002/ijgo.12421.
[19]	龙飞雯.脐带绕颈的相关因素分析及临床研究[D].南宁: 广西医科大学, 2015. Long FW. Analysis on related factors and clinical research of umbilical cord around the neck[D]. Nanning: Guangxi Medical University, 2015.
[20]	湛永乐, 蔡姝雅, 王雅文, 等.中国9 193名妇女孕早期保健经济负担现状分析[J].公共卫生与预防医学, 2020, 31(1):29-33. DOI: 10.3969/j.issn.1006-2483.2020.01.007. Zhan YL, Cai SY, Wang YW, et al. Analysis on the economic burden of maternal health care of 9 193 women during early pregnancy in China[J]. J of Pub Health and Prev Med, 2020, 31(1):29-33. DOI: 10.3969/j.issn.1006-2483.2020.01.007.
[21]	Brezinka C, Lechner T, Stephan K.[The fetus and noise][J]. Gynakol Geburtshilfliche Rundsch, 1997, 37(3):119-129. DOI: 10.1159/000272841.
[22]	Kuhlman KA, Burns KA, Depp R, et al. Ultrasonic imaging of normal fetal response to external vibratory acoustic stimulation[J]. Am J Obstet Gynecol, 1988, 158(1):47-51. DOI: 10.1016/0002-9378(88)90773-9.
[23]	保毓书, 胡永华, 李宏.孕期职业接触噪声对妊娠经过和结局影响的研究[J].工业卫生与职业病, 2001, 27(2):68-71. DOI: 10.13692/j.cnki.gywsyzyb.2001.02.002. Bao YS, Hu YH, Li H. Study on effects of occupational noise on the course and outcome of pregnancy[J]. Ind Hlth & Occup Dis, 2001, 27(2):68-71. DOI: 10.13692/j.cnki.gywsyzyb.2001.02.002.
[24]	McDonald AD, McDonald JC, Armstrong B, et al. Prematurity and work in pregnancy[J]. Br J Ind Med, 1988, 45(1):56-62. DOI: 10.1136/jech.8.4.153.
[25]	Rogers JM. Tobacco and pregnancy[J]. Reprod Toxicol, 2009, 28(2):152-160. DOI: 10.1016/j.reprotox.2009.05.007.