在COVID-19大流行期间,与肥胖相关的孕产妇并发症
Inshirah Sgayer1,2, Tomer Yehuda Fishman2, Lior Lowenstein1,2
1Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel.
Obstetric medicine
|November 18, 2024
概括
在COVID-19大流行期间,孕期体重增加增加. 然而,与肥胖相关的妊娠并发症,如妊娠糖尿病,减少了,可能是由于减少了产前护理的机会.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行严重影响了医疗保健服务,包括产前护理.
- 了解这一时期怀孕结果的变化对于母亲的健康至关重要.
- 与肥胖相关的并发症在怀孕期间存在重大风险.
研究的目的:
- 为了比较早期的COVID-19大流行和前一年之间的妊娠体重增加 (GWG) 和孕产妇发病率.
- 分析大流行对肥胖相关妊娠并发症的影响.
主要方法:
- 进行了一项回顾性比较研究.
- 关于GWG,肥胖率和怀孕并发症的数据是从一所三级大学医院收集的.
- 疫情爆发第一年的三个月与前一年的同期进行了比较.
主要成果:
- 患有I级肥胖症的女性在疫情期间 (11.16公斤) 与前一年 (8.69公斤) 相比,GWG较高.
- 经过调整后,流行时期与妊娠糖尿病 (OR=0.66) 和妊娠高血压疾病 (OR=0.63) 的几率较低有关.
- 进行了对等性,受孕方式和晚期母亲年龄的调整.
结论:
- 孕期体重增加在疫情期间增加.
- 在大流行期间,与肥胖相关的妊娠并发症出现的次数较少.
- 由于有限的产前护理而减少的检测可能解释了较低的并发症率.
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