减肥手术后的孕产妇和新生儿风险和结果:卡塔尔的BMI类别之间的基于人口的比较研究
Nader I Al-Dewik1,2,3,4, Muthanna Samara5, Adel Mahmah6,7
1Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar. Naldewik@hamad.qa.
Scientific reports
|November 7, 2024
概括
与正常体重女性相比,有腹部手术 (BS) 史的孕妇面临剖腹产,早产,死产和低出生体重新生儿的风险更高. 建议对这些高风险怀孕进行密切监测.
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
- 手术结果研究研究.
背景情况:
- 减肥手术 (BS) 对怀孕结果的影响仍然不完全理解,特别是在不同的孕产妇体重类别中.
- 现有的研究缺乏BS后怀孕和各种身体质量指数 (BMI) 分类之间的全面比较.
研究的目的:
- 评估与曾经接受过减肥手术 (BS) 的女性相关的因素.
- 与肥胖,超重和正常体重的妇女相比,研究BS后怀孕的孕产妇和新生儿结局.
主要方法:
- 一项使用注册表数据进行的12个月后期人口研究 (PEARL-Peristat研究).
- 包括6212名分娩妇女 (315名BS后,5897名没有BS病史).
- 单变量和多变量回归分析以确定风险因素和结果.
主要成果:
- 在BS后的女性更有可能年长,具有更高的平价性,并且有先前存在的糖尿病和高血压.
- 与正常体重女性相比,BS后组的剖腹产,早产和死产的可能性增加.
- 与所有BMI组相比,BS后妇女的低出生体重新生儿风险更高,包括肥胖和超重.
结论:
- 减肥手术后的怀孕代表了一个高风险群体,需要密切的医疗监测.
- 研究结果可以为有关BS后怀孕产前和产后护理的临床决策提供信息.
- 进一步的研究可能会阐明导致这一群体出现不良结果的具体机制.
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