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首页> 外文期刊>Journal of women’s health >Caffeine's implications for women's health and survey of obstetrician-gynecologists' caffeine knowledge and assessment practices.
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Caffeine's implications for women's health and survey of obstetrician-gynecologists' caffeine knowledge and assessment practices.

机译：咖啡因对妇女健康的影响以及妇产科医生对咖啡因的知识和评估方法的调查。

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OBJECTIVE: Caffeine has relevance for women's health and pregnancy, including significant associations with spontaneous abortion and low birth weight. According to scientific data, pregnant women and women of reproductive age should be advised to limit their caffeine consumption. This article reviews the implications of caffeine for women's psychological and physical health, and presents data on obstetrician-gynecologists' (ob-gyns) knowledge and practices pertaining to caffeine. METHODS: Ob-gyns (N = 386) who are members of the American College of Obstetricians and Gynecologists' Collaborative Ambulatory Research Network responded to a 21-item survey about caffeine. RESULTS: Although most knew that caffeine is passed through breast milk, only 24.8% were aware that caffeine metabolism significantly slows as pregnancy progresses. Many respondents were not aware of the caffeine content of commonly used products, such as espresso and Diet Coke, with 14.3% and 57.8% indicating amounts within an accurate range, respectively. Furthermore, ob-gyns did not take into account large differences in caffeine content across different caffeinated beverages with most recommending one to two servings of coffee or tea or soft drinks per day. There was substantial inconsistency in what was considered to be "high levels" of maternal caffeine consumption, with only 31.6% providing a response. When asked to indicate the risk that high levels of caffeine have on various pregnancy outcomes, responses were not consistent with scientific data. For example, respondents overestimated the relative risk of stillbirths and underestimated the relative risk of spontaneous abortion. There was great variability in assessment and advice practices pertaining to caffeine. More than half advise their pregnant patients to consume caffeine under certain circumstances, most commonly to alleviate headache and caffeine withdrawal. CONCLUSIONS: The data suggest that ob-gyns could benefit from information about caffeine and its relevance to their clinical practice. The development of clinical practice guidelines for caffeine may prove to be useful.
机译：目的：咖啡因与妇女的健康和怀孕有关，包括与自然流产和低出生体重的显着相关。根据科学数据，应建议孕妇和育龄妇女限制摄入咖啡因。本文回顾了咖啡因对女性心理和身体健康的影响，并提供了有关妇产科医生（妇产科医生）关于咖啡因的知识和做法的数据。方法：美国妇产科医师学会动态研究网络的成员Ob-gyns（N = 386）回答了一项关于咖啡因的21项调查。结果：尽管大多数人都知道咖啡因是通过母乳传递的，但只有24.8％的人知道咖啡因的代谢会随着怀孕的进行而显着减慢。许多受访者并不知道常用产品（例如浓缩咖啡和健怡可乐）中的咖啡因含量，其中分别为14.3％和57.8％表示含量在准确范围内。此外，妇产科医生没有考虑到不同含咖啡因饮料中咖啡因含量的巨大差异，大多数建议每天推荐一到两份咖啡，茶或软饮料。被认为是“高水平”的孕妇咖啡因消费量存在很大的不一致，只有31.6％的人对此做出了回应。当被要求指出高浓度咖啡因对各种妊娠结局的风险时，反应与科学数据不一致。例如，受访者高估了死产的相对风险，而低估了自然流产的相对风险。与咖啡因有关的评估和建议做法差异很大。超过一半的人建议其怀孕的患者在某些情况下食用咖啡因，最常见的是减轻头痛和咖啡因戒断。结论：数据表明妇产科医生可以受益于咖啡因及其与临床实践相关性的信息。咖啡因临床实践指南的开发可能被证明是有用的。

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