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根据怀孕前的体重指数,无卵性个体的新生儿和孕产妇结局
Tetsuya Kawakita1, Rula Atwani1, George Saade1
1Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia.
American journal of perinatology
|August 14, 2024
概括
较高的身体质量指数 (BMI) 与无胎儿个体不良妊娠结果的风险增加有关. 有效的怀孕前体重管理对于改善母亲和新生儿健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 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:
- 肥胖率的上升给生殖健康带来了挑战.
- 了解不同体重指数 (BMI) 对怀孕结果的影响至关重要.
研究的目的:
- 调查妊娠前体重指数 (BMI) 的增量增加与不良妊娠结果之间的关联.
- 量化与不同BMI类别相关的风险在无双的个体.
主要方法:
- 使用美国生命统计数据的回顾性队列研究将出生和婴儿死亡数据 (2011-2020) 联系起来.
- 分析包括单子怀孕的无孕个体,在>=20周内分娩.
- 结果在5kg/m2的BMI增量中进行了比较,调整后的相对风险是使用修改后的Poisson回归计算的.
主要成果:
- 分析了超过1100万名无卵性个体,BMI>=40,50或60kg/m2的比例越来越高.
- 体重指数的逐渐增加与新生儿和母亲不良后果的风险更高相关.
- 例如,BMI 65-69.9与与正常BMI相比,复合新生儿结局的风险增加了2.11倍.
结论:
- 妊娠前BMI的逐渐增加与妊娠不良结果的风险增加有显著的关联.
- 这些发现强调了怀孕前体重管理对于优化妊娠健康的重要性.
- 较高的BMI水平与新生儿并发症和严重的孕产妇死亡率的风险增加有关.
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