日本孕产妇体重增加和产科结果的现状
1Obstetrics and Gynecology, Nippon Medical School, Tokyo, JPN.
Cureus
|November 29, 2023
概括
日本关于妊娠期体重增加的指导方针在2021年进行了修订. 虽然母亲体重增加,但该研究没有发现低出生体重婴儿的减少,这表明修订后的指导方针可能无法有效预防LBWI.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 日本卫生,劳工和福利部 (JMHLW) 在2021年修订了最佳妊娠体重增加 (GWG) 准则.
- 该修订旨在减少日本低出生体重婴儿 (LBWI) 的发生率.
研究的目的:
- 评估修订后的JMHLW GWG指南的影响.
- 为了确定母体GWG是否增加,LBWI发病率是否下降,在指南修订后进行了修订.
主要方法:
- 对产科记录的回顾性审查.
- 对日本妇女单独怀孕的分析,怀孕≥37周后分娩.
- 2020年 (前修订) 和2022年 (后修订) 数据的比较.
主要成果:
- 在指导方针修订后,母亲GWG显著增加.
- 没有观察到LBWI发病率的预期下降.
- 孕产妇GWG符合修订后的标准,但与LBWI降低无关.
结论:
- 患者符合JMHLW GWG修订的指导方针.
- 增加的母体GWG并没有导致LBWI的减少.
- 需要进一步的研究来了解影响LBWI率的因素,并优化GWG建议.
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