在分娩时增加母亲的BMI与母亲和新生儿的不良结果有关
Haley A Steffen1, Samantha R Swartz2, Kimberly A Kenne2
1University of Iowa Carver College of Medicine, Iowa City, Iowa.
American journal of perinatology
|February 22, 2024
概括
产妇在分娩时的肥胖与母亲和新生儿的风险增加有关,包括较高的剖腹产率和新生儿并发症. 这项研究强调了分娩时的体重指数 (BMI) 在预测周产期不良结果方面的重要性.
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:
- 美国肥胖率不断上升,需要了解怀孕风险.
- 现有的研究主要使用妊娠前的BMI,忽略了分娩BMI.
- 关于分娩BMI与孕产妇/新生儿结局之间的关联的数据有限.
研究的目的:
- 确定母亲在分娩时的BMI与不良产前,产后和新生儿结局之间的关联.
- 调查分娩BMI对产妇并发症 (如高血压疾病和产后出血) 的影响.
- 评估分娩BMI与新生儿结局之间的关系,包括低血糖和NICU入院.
主要方法:
- 在怀孕期间对COVID-19进行前性队列研究的二次分析.
- 包括2020年5月至2021年4月期间的1,996次单期分娩.
- 后勤回归模型评估了母亲的BMI与结果之间的关系,显著性设置为p<0.05.
主要成果:
- 61.1%的妇女的分娩BMI≥30.0公斤/m2.
- 增加的BMI与不令人放心的胎儿状况,较高的剖腹产率 (整体和非计划),产后出血和延长产后停留相关.
- 更高的BMI也与怀孕的高血压疾病,新生儿低血糖症,新生儿急症监护室入院,更低的1分钟APGAR分数和新生儿出生体重增加有关.
结论:
- 产妇在分娩时BMI升高与不良周产期结果有显著的关联.
- 这些发现强调了对超重/肥胖患者怀孕风险的临床咨询的必要性.
- 进一步的研究应该探索与母亲的BMI相关的高剖腹产率的原因.
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