孕产妇肥胖:围产阶段的影响
Julie Reed1, Sarah Case1, Asha Rijhsinghani2
1School of Medicine, University of Washington, Seattle, WA, USA.
SAGE open medicine
|June 5, 2023
概括
孕妇肥胖率正在上升,孕妇和婴儿在怀孕和分娩期间面临的风险增加. 本综述强调了对母亲和后代神经发育的重大健康影响.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 在过去的三十年中,超重和肥胖在一般人口和孕妇中的患病率上升.
- 妊娠前增加的体重指数和过度的妊娠体重增加有助于孕产妇的肥胖.
- 孕产妇肥胖与诸如胰岛素耐药性,妊娠引起的高血压和感染等并发性并发症有关.
研究的目的:
- 审查母亲肥胖对怀孕结果的多方面的影响.
- 检查母亲肥胖对胎儿发育和分娩的影响.
- 探索母亲肥胖与后代长期神经发育结果之间的关联.
主要方法:
- 对过去三十年发表的研究进行了全面的文献综述.
- 对母亲妊娠前BMI,妊娠期体重增加和相关健康风险的数据分析.
- 检查胎儿生长,分娩并发症,新生儿结果和后代神经发育轨迹.
主要成果:
- 孕产妇的肥胖增加了胎儿异常,胎儿生长变化和不良分娩结果 (仪器化阴道分娩,剖腹产) 的风险.
- 肥胖的母亲有更高的伴随性疾病和传染病的发病率.
- 新生儿结局受到负面影响,包括出生体重增加,需要呼吸支持,以及缺氧缺血性脑病变的风险.
结论:
- 孕产妇的肥胖在整个怀孕,分娩和产后存在重大风险.
- 孕产妇肥胖与后代的神经发育不良结果之间存在强烈的关联.
- 解决孕产妇肥胖问题对于改善孕产妇和儿童健康结果至关重要.
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