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Association of the verbal rating scale-measured dysmenorrhea with nausea and vomiting in pregnancy:a retrospective cohort study

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单位: [1]Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China [2]Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [3]Department of Obstetrics and Gynaecology, Shengjing Hospital of China Medical University, Shenyang, China [4]Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [5]Ministry of Education Key Lab for Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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关键词: Nausea and vomiting in pregnancy dysmenorrhea verbal rating scales DHA nutrient supplementation

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Nausea and vomiting in pregnancy (NVP) is a common condition that reduces the quality of life by negatively affecting work and family life, physical and mental health, and economic wellbeing. However, its risk factors remain unclear. This study aimed to explore the association between NVP and verbal rating scale-measured dysmenorrhea and to explore potential protective factors.This retrospective cohort study was conducted from June 2018 to December 2020 at Tongji Hospital in Wuhan. Information on baseline characteristics, pregnancy-related history, periconceptional micronutrient supplementation, and obstetric outcomes were collected. The severity of dysmenorrhea was assessed using verbal rating scales (VRS).A total of 443 pregnant women were recruited and divided into the NVP group (n = 76) and the control group (n = 367). A significant association was observed between NVP and VRS-measured dysmenorrhea (χ2 = 10.038, P = 0.007). After adjusting for covariates, the association between moderate/severe dysmenorrhea and NVP remained significant (OR 2.384, 95% CI 1.104-5.148, P = 0.004). First-trimester DHA supplement (OR 0.443, 95% CI 0.205-0.960, P = 0.039) may be beneficial in reducing the risk of NVP.Women with moderate to severe dysmenorrhea have a higher risk of experiencing NVP during the first trimester. Periconceptional DHA supplementation may play a protective role.Copyright © 2024. Published by Elsevier Inc.

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大类 | 4 区 医学
小类 | 4 区 妇产科学
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最新[2023]版:
Q2 OBSTETRICS & GYNECOLOGY

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第一作者单位: [1]Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China
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