根据3级肥胖症的严重程度,根据母乳养的开始
Leandro Cordero1, Michael R Stenger1, Mark B Landon2
1Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Journal of neonatal-perinatal medicine
|February 20, 2025
概括
与患有病态肥胖症的女性相比,极度肥胖的女性的母乳养率较低,健康问题更多. 需要有针对性的干预措施来支持这个高风险群体的母乳养.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 肥胖医学 肥胖医学
- 哺乳期科学 哺乳期科学
背景情况:
- 3类肥胖症包括病态 (BMI 40-49 kg/m2) 和极端 (BMI ≥50 kg/m2) 的子组.
- 周产期不良结果与肥胖有关,但对这些子组的母乳养启动数据有限.
研究的目的:
- 为了比较患有病态和极度肥胖的妇女之间的母乳养开始率和并发症.
- 发现严重肥胖妇女在母乳养支持和结果方面的差异.
主要方法:
- 对1780名女性进行了回顾性队列研究,这些妇女在怀孕34周或更长的时间内分娩单子 (2013-2021年).
- 将890名患有病态肥胖症的妇女与890名患有极度肥胖症的妇女根据种族,平价和分娩年进行了匹配.
- 不包括腹部外科手术的妇女或患有重大发育不良的婴儿.
主要成果:
- 极度肥胖的组有更高的妊娠糖尿病,孕期糖尿病,慢性高血压,严重的孕前,阻塞性睡眠呼吸暂停,喘和剖腹产的发病率.
- 开始母乳养 (57%对64%),纯母乳养 (23%对34%) 和意图母乳养 (64%对71%) 在极度肥胖组较低.
- 这两组在初级亲属,年龄,种族,吸烟状况,妊娠高血压,PCOS,GERD和贫血方面都相似.
结论:
- 极度肥胖的妇女面临更高的并发症负担,影响母乳养的开始.
- 有针对性的产前,产后和产后干预措施对于改善极度肥胖的母亲和婴儿的母乳养益处至关重要.
- 需要进一步的研究来了解和解决严重肥胖症中母乳养的障碍.
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