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超重妇女的围产期结果:一项审计

Neeru Malik¹, Neeraj Sharma¹, G P Kaushal²

¹Department of Obstetrics and Gynaecology, Dr. Baba Saheb Ambedkar Medical College & Hospital, Delhi, IND.

|November 30, 2023

概括

与体重正常的同龄人相比,超重的孕妇经历了更长的分娩,更多的失败诱导和较差的初始新生儿结果. 体重管理对于更好的妊娠健康和结果至关重要.

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
生殖健康生殖健康

背景情况:

肥胖女性的怀孕与并发症有关,但对超重,非肥胖的孕妇的结果不太了解.
这项研究调查了与正常体重对照组相比,超重 primigravida 的母亲和胎儿结局.

研究的目的:

评估和比较超重与正常体重的孕妇的胎儿和母亲的结果.
为了确定与怀孕期间超重状态相关的特定风险.

主要方法:

预期的观察性队列研究 primigravida 在经过劳动诱导的满期怀孕.
患者分为正常体重 (BMI<23kg/m2) 和超重 (BMI≥23kg/m2 和 <25kg/m2) 的组.
收集了关于分娩参数,产妇并发症和新生儿结果 (Apgar分数,NICU入院) 的数据.

主要成果:

超重组需要更多的前列腺素E2凝剂量 (51.4%对20.8%) 和更长的诱导到分娩间隔 (>30小时在20%对4.3%).
在超重组中,失败诱导需要剖腹产的发病率更高 (25.7%对11.3%).
出生于超重母亲的新生儿最初的Apgar分数较低,但NICU入院没有显著差异.

结论:

超重妇女的怀孕与延长分娩,失败诱导率的增加以及初始不良新生儿结果有关.
产周护理应强调体重控制和针对妊娠并发症的量身定制的管理策略.
超重,非肥胖的孕妇应被纳入研究,因为在肥胖症中观察到类似的不良结果.

关键词:

身体质量指数:BMI.引发劳动结果的诱导.孕产妇的肥胖症孕产妇的肥胖症产妇分娩并发症产妇分娩并发症怀孕结果怀孕结果

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