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怀孕期间体重增加和剖腹产风险增加在体质指数类别中
Pearl A McElfish1, Britni L Ayers2, Nicola L Hawley3
1College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR (McElfish, Callaghan-Koru, and Andersen).
AJOG global reports
|March 3, 2025
概括
过度的妊娠体重增加增加了所有身体质量指数 (BMI) 类别的剖腹产风险. 适度的体重增加对健康的BMI个体可能有保护作用,但过度的体重增加会在所有群体中增加风险.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 不必要的剖腹产对母亲和婴儿构成风险.
- 美国剖腹产产率超过了世卫组织的建议.
- 减少剖腹产是一个国家卫生目标.
研究的目的:
- 调查过度妊娠体重增加与剖腹产分娩风险之间的关联.
- 为了分析不同孕前身体质量指数 (BMI) 类别之间的这种关联.
主要方法:
- 利用国家卫生统计中心的低风险怀孕的出生记录.
- 分析了孕期体重增加作为分类和连续变量 (速度和总体重增加).
- 包括单子,孕期,头部表现,第一个出生.
主要成果:
- 过度的妊娠体重增加与较高的剖腹产风险相关,不论妊娠前的BMI.
- 适当的体重增加对健康的BMI个体产生了保护作用.
- 任何妊娠期体重增加都会增加超重/肥胖个体的剖腹产风险.
结论:
- 过度的妊娠体重增加和剖腹产分娩风险增加之间存在着强烈的联系.
- 减少过度妊娠体重增加的努力对所有人群至关重要.
- 孕期体重管理是优化分娩结果的关键.
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