台湾最佳妊娠体重增加:一项回顾性队列研究
Fu-Ching Chuang1, Hsin-Yin Huang1, Yu-Hao Chen1
1Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.
Taiwanese journal of obstetrics & gynecology
|March 14, 2024
概括
孕前母亲的体重指数 (BMI) 和孕期体重增加 (GWG) 影响怀孕的结果. 建议修订台湾GWG指南,以减少单子妊娠的不良并发症.
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:
- 孕前母亲的体重指数 (BMI) 和孕期体重增加 (GWG) 是影响妊娠结果和孕妇并发症的关键因素.
- 了解这些关联对于开发有效的产前护理策略至关重要.
研究的目的:
- 调查孕前母亲的BMI和GWG对台湾妇女怀孕结果的影响.
- 探索和提出台湾单子怀孕的最佳GWG建议.
主要方法:
- 在2017年至2019年间,从台湾的高等中心对8146名单身孕妇进行了回顾性分析.
- 根据台湾卫生促进管理局的标准,将参与者分为五个BMI组 (体重不足,体重正常,超重,轻度肥胖,中度至重度肥胖).
- 分析了孕前BMI,GWG和围产期结局之间的关联,并修订了GWG建议,引用了国际准则.
主要成果:
- 与正常体重女性相比,超重和肥胖女性的剖腹产,高血压障碍,孕前和早产率更高.
- 为台湾妇女建立推的GWG范围:11-15公斤 (体重不足),9.4-13.5公斤 (正常),7.9-11.4公斤 (超重),7.3-10公斤 (轻度肥胖) 和4.9-9公斤 (中度至重度肥胖) 以尽量减少并发症.
结论:
- 不理想的孕前体重 (BMI ≥24 kg/m2) 和不适当的孕前体重增加了不良妊娠并发症的风险.
- 台湾GWG指南需要修订,以与当地人口特征和临床数据保持一致,以改善孕产妇和胎儿健康结果.
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