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怀孕前减肥手术后的妊娠和后代结局
Jade Eccles-Smith1, Alison Griffin2, H David McIntyre3
1Department of Obstetric Medicine, Royal Brisbane and Women's Hospital, Herston, Australia; Mater Research, The University of Queensland, Brisbane, Australia.
American journal of obstetrics and gynecology
|September 5, 2024
概括
减肥手术后的怀孕与较少的肥胖并发症有关,但对于妊娠年龄的婴儿来说更早产和小. 这项研究分析了在怀孕前接受减肥手术的女性的结果.
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
- 外科手术的结果
背景情况:
- 腹腔外科手术是肥胖症的关键治疗方法,导致手术后怀孕增加.
- 这些怀孕的结果各不相同,只有有限的大规模匹配研究.
- 了解这些结果对于母亲和胎儿的福祉至关重要.
研究的目的:
- 详细介绍孕前减肥手术的类型.
- 与匹配的对照组相比,分析母亲,怀孕和婴儿的结果.
- 评估对胎儿生长的影响,特别是妊娠年龄小 (SGA) 和妊娠年龄大 (LGA) 婴儿的比例.
主要方法:
- 一项横截面,匹配的研究利用了全州围产期数据注册 (2013-2018) 的数据.
- 1282名怀孕前减肥手术的妇女与对照进行了1:10的匹配.
- 用SGA和LGA婴儿协会的逻辑回归来分析结果.
主要成果:
- laparoscopic 袖子胃切除术是最常见的 (93%).
- 与对照组相比,后代的出生体重较低,LGA率降低,SGA率增加.
- 以前接受过减肥手术的母亲的妊娠糖尿病和妊娠引起的高血压率较低,但早产率较高.
结论:
- 怀孕前减肥手术可以减少一些与肥胖有关的妊娠并发症.
- 这种好处伴随着早产风险的增加,以及对妊娠年龄小的后代.
- 需要进一步的研究来优化减肥手术后怀孕的结果.
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