在减肥手术后的第一个术后一年怀孕:对怀孕结果的回顾性研究
Sesilia Kaukonen1, Susanna Pajula2, Mika Gissler3,4
1Department of Obstetrics and Gynecology, Helsinki University Women's Hospital, Haartmaninkatu 2, Helsinki, 00029, Finland.
BMC pregnancy and childbirth
|December 26, 2024
概括
减肥手术 (BS) 后的怀孕结果是相似的,无论手术到怀孕时间 (SCT). 在BS后等待超过12个月并不能始终改善母亲或新生儿的结果,这表明个性化咨询是关键.
科学领域:
- 生殖医学和外科手术
- 腹部外科手术的结果
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 越来越多的生育年龄的女性接受了减肥手术 (BS).
- 虽然怀孕结果通常会在BS后得到改善,但人们对快速减肥和代谢状态存在担忧.
- 建议的12个月的手术到怀孕时间 (SCT) 是有争议的.
研究的目的:
- 为了比较12个月以下怀孕的女性 (第一组) 和超过12个月的女性 (第二组) 怀孕后的妊娠结果.
- 评估手术到怀孕时间 (SCT) 对母亲和新生儿健康的影响.
主要方法:
- 追溯性研究分析了来自医院登记册和芬兰医疗出生登记册 (2010-2022) 的数据.
- 收集了接受BS和随后怀孕的妇女的数据,包括手术时的特征和母亲/新生儿的结果.
- 与SCT<12个月 (n=17) 和SCT>12个月 (n=96) 的女性之间的结果比较.
主要成果:
- 在BS的患者特征 (年龄,体重,BMI,手术技术) 在两组之间是相似的.
- 第1组的平均产妇年龄较低;第2组的妊娠糖尿病发病率较高.
- 怀孕年龄,早产,产后和剖腹产的发生率相似;第二组的诱导率更高. 第1组新生儿出生体重较低,但出生体重低和妊娠年龄小的比例相似. 阿普加尔评分是可以比较的.
结论:
- 减肥手术 (BS) 后的怀孕结果似乎没有通过等待超过12个月 (SCT) 得到持续改善.
- 在咨询妇女在BS后怀孕的最佳时间时,个性化风险评估至关重要.
- 这些发现质疑了普遍推的12个月的手术到怀孕时间.
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