在有代谢障碍的怀孕中,母亲的心脏功能
Deesha Patel1, Makrina D Savvidou1,2
1Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, Department of Metabolism, Digestion and Reproduction, Imperial College London, UK.
怀孕期间的肥胖会影响母亲的心脏功能和风险. 本综述考察了肥胖怀孕,妊娠期糖尿病,高血压和腹腔外科手术后心脏变化的结果.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 全球肥胖率的上升在怀孕期间存在重大风险.
- 怀孕中的代谢功能障碍与孕产妇和产周并发症有关.
- 肥胖对心血管的影响在怀孕期间已经被了解,但怀孕期间的心脏功能仍未得到充分研究.
研究的目的:
- 审查当前关于肥胖症复杂的怀孕中母亲心脏功能的证据.
- 探索肥胖相关疾病,如妊娠期糖尿病和高血压对心脏功能的影响.
- 检查减肥手术后怀孕中的心脏适应.
主要方法:
- 现有研究的文献综述.
- 在正常与肥胖怀孕中对母亲心脏适应的分析.
- 检查妊娠糖尿病,慢性高血压和怀孕高血压疾病中的心血管影响.
- 评估怀孕后的结果和心脏功能.
主要成果:
- 肥胖会显著改变孕妇在怀孕期间的心脏适应.
- 妊娠糖尿病和妊娠高血压疾病加剧了心血管风险.
- 在怀孕之前的腹腔外科手术可以改善代谢状况,并可能对怀孕结果和心脏功能产生积极影响.
结论:
- 了解肥胖中母亲的心脏功能对于管理怀孕风险至关重要.
- 需要进一步的研究,以充分阐明这些怀孕的长期心血管影响.
- 在怀孕前的减肥手术显示出减轻怀孕期间与肥胖相关的风险的前景.
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