孕产妇超肥胖症正在增加,并且与妊娠并发症风险增加有关 - 这是一个令人担忧的呼吁
Sameer Khan1, Nicholas Baranco2, Martha Wojtowycz3
1Department of Obstetrics and Gynecology, Good Samaritan University Hospital, West Islip, NY, USA.
概括
极高的体重指数 (BMI) 50公斤/平方米或以上与更多的妊娠并发症有关. 这包括新生儿的问题,如较低的APGAR分数和NICU入院,以及对于母亲来说,剖腹产的可能性更高.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产儿医学 围产儿医学
背景情况:
- 身体质量指数 (BMI) 升高是孕产妇健康日益关注的问题.
- 了解怀孕期间严重肥胖相关的特定风险对于改善结果至关重要.
研究的目的:
- 调查高体重指数 (BMI) 与怀孕并发症发生率之间的关联.
- 确定与妊娠期间严重肥胖有关的母亲和新生儿的特定风险.
主要方法:
- 以2010年至2022年期间使用电子出生证明数据的回顾性队列研究.
- 分析包括BMI作为连续和分类变量,将不同肥胖类别与参考组 (BMI 30-39.9 kg/m2) 进行比较.
- 统计方法包括ANOVA,奇二测试和后勤回归来确定各种结果的调整几率比率.
主要成果:
- 体重指数≥50kg/m2的患者显示阿帕尔分数<7和NICU入院/转移的可能性增加.
- 在无卵性个体中,BMI ≥50 kg/m2与早产 (<37周和<34周) 的几率更高有关.
- 在BMI 40-49.9 kg/m2和≥50 kg/m2两组中都观察到剖腹产的几率增加.
结论:
- 体重指数 (BMI) 50 kg/m2或更高显著与更大的妊娠并发症风险有关.
- 严重的肥胖对新生儿健康构成重大风险,并增加了手术分娩的可能性.
- 需要进一步的研究和临床关注,以管理极度肥胖妇女的怀孕.
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