低孕产妇体重对怀孕和新生儿结果的影响
Nikhita Chahal1, Tanya Qureshi1, Soukaina Eljamri1
1Department of Medicine, Division of Endocrinology and Metabolism, Neuroendocrinology Unit, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Journal of the Endocrine Society
|December 13, 2024
概括
体重不足的孕妇面临着分娩小或低出生体重婴儿的更高风险. 然而,与正常体重的母亲相比,她们经历的膜早破和产后出血的情况较少.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕妇体重不足,定义为体重指数 (BMI) 低于18.5公斤/平方米,是怀孕期间的一个营养问题.
- 孕妇体重不足对妊娠并发症和新生儿后果的影响需要进一步阐明.
研究的目的:
- 调查体重不足的母亲BMI与不良妊娠并发症之间的联系.
- 确定母亲体重不足对关键新生儿结局的影响.
主要方法:
- 进行了一项队列研究,涉及16,361名在2015-2021年期间分娩单独婴儿的母亲.
- 母亲被分为体重不足 (BMI <18.5 kg/m2) 和正常体重组.
- 评估结果包括出生体重,妊娠年龄,新生儿重症监护室入院,早产,胎儿死亡和产科并发症.
主要成果:
- 体重不足的母亲更年轻,更不可能拥有私人保险 (P < .01).
- 体重不足的母亲的婴儿有显著更高的怀孕年龄小 (23%对13.5%) 和低出生体重 (15%对9%) (P <.01) 的婴儿.
- 体重较低的女性显示,膜破裂和产后出血的风险较低.
结论:
- 低体重的母亲BMI与新生儿不良结果的风险增加有关,特别是对于妊娠年龄和低出生体重的婴儿来说很小.
- 怀孕并发症,如子膜过早破裂和产后出血,在体重不足的妇女中较少发生.
- 孕产妇体重不足主要影响新生儿的结果,对孕产妇相关的妊娠并发症的影响较小.
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