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Health outcomes of children born to mothers with chronic kidney disease: a pilot study

机译:患有慢性肾脏病的母亲所生孩子的健康结局:一项初步研究

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摘要

This study aimed to study the health of children born to mothers with chronic kidney disease. Twenty-four children born to mothers with chronic kidney disease were compared with 39 matched control children born to healthy mothers without kidney disease. The well-being of each child was individually assessed in terms of physical health, neurodevelopment and psychological health. Families participating with renal disease were more likely to be from lower socio-economic backgrounds. Significantly fewer vaginal deliveries were reported for mothers with renal disease and their infants were more likely to experience neonatal morbidity. Study and control children were comparable for growth parameters and neurodevelopment as assessed by the Griffiths scales. There was no evidence of more stress amongst mothers with renal disease or of impaired bonding between mother and child when compared to controls. However, there was evidence of greater externalizing behavioral problems in the group of children born to mothers with renal disease. Engaging families in such studies is challenging. Nonetheless, families who participated appreciated being asked. The children were apparently healthy but there was evidence in this small study of significant antenatal and perinatal morbidity compared to controls. Future larger multi-center studies are required to confirm these early findings.
机译:这项研究旨在研究患有慢性肾脏疾病的母亲所生孩子的健康。比较了患有慢性肾脏疾病的母亲所生的二十四个孩子与健康的没有肾脏疾病的母亲所生的39个配对对照孩子。从身体健康,神经发育和心理健康方面分别评估了每个孩子的幸福感。患有肾脏疾病的家庭更有可能来自较低的社会经济背景。据报道,患有肾脏疾病的母亲的阴道分娩明显减少,其婴儿更容易发生新生儿病。根据格里菲思量表评估,研究和对照儿童的生长参数和神经发育具有可比性。与对照组相比,没有证据表明患有肾脏疾病的母亲承受的压力更大,或母子之间的结合力受损。但是,有证据表明,患有肾脏疾病的母亲所生的孩子群体中存在更大的外部行为问题。让家庭参与此类研究具有挑战性。尽管如此,参加活动的家庭还是很高兴被问到。这些孩子显然健康,但是在这项小型研究中有证据显示与对照组相比,产前和围产期的发病率显着。需要进一步的大型多中心研究以确认这些早期发现。

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