过度妊娠体重增加对不良周产期结果的影响:系统性审查
Eleni Kalli1, Anastasios Potiris2, Ekaterini Domali3
1Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Journal of clinical medicine
|February 26, 2025
概括
过度的妊娠体重增加与母亲和新生儿的不良周产期结果有关,包括较高的宏观和剖腹产分娩风险. 然而,它可能对早产和低出生体重的婴儿有好处.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 公共卫生 公共卫生
背景情况:
- 孕期体重增加是孕期健康的一个关键因素.
- 了解过度体重增加的影响对于母亲和胎儿的健康至关重要.
研究的目的:
- 系统地审查过度妊娠体重增加对周产期不良结果的影响.
- 综合当前关于与高妊娠期体重增加相关的孕产妇和胎儿/新生儿风险的证据.
主要方法:
- 在Medline/PubMed,Scopus,CADTH Grey Matters和国家博士论文档案馆的系统文献搜索.
- 包括的研究使用纽卡斯尔-太华尺度 (NOS) 评估了偏差风险.
主要成果:
- 包括五项具有偏差风险较低的研究.
- 过度的妊娠体重增加与妊娠糖尿病,巨,妊娠年龄较大的新生儿,高血压疾病和剖腹产的风险增加有关.
- 在一些研究中,对早产风险降低,妊娠年龄较小的新生儿和低出生体重的新生儿注意到了有益的影响.
结论:
- 强有力的证据表明,过度妊娠体重增加对大多数不良周产期结果产生负面影响.
- 虽然通常是有害的,但过度的妊娠体重增加对特定的围产期结果具有有限的有益影响.
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