超肥胖妇女的妊娠结果
Pallavi Chandra Ravula1, Anisha Gala Shah1, Gunjan Bansal2
1Department of Obstetrics, Fernandez Hospital, Hyderabad, India.
Journal of obstetrics and gynaecology of India
|August 25, 2025
概括
孕妇的高体重指数 (BMI) 显著增加了孕妇和胎儿并发症的风险. 超肥胖女性 (BMI ≥50公斤/平方米) 面临剖腹产,胎儿生长异常和死胎率的上升.
科学领域:
- 产科和妇科
- 产妇和胎儿医学
- 公共卫生
背景情况:
- 身体质量指数 (BMI) 高与孕产妇和产周并发症的增加有关.
- 这些并发症包括糖尿病,高血压,早产,剖腹产和胎儿异常.
- 体重指数>50公斤/平方米 (超肥胖) 的女性面临各种不良结果.
研究的目的:
- 在超肥胖的孕妇中确定孕妇和胎儿并发症的风险.
- 在研究群体中评估超肥胖的发病率.
主要方法:
- 在三级围产期护理中心进行了11年的回顾性队列研究 (2013-2023年).
- 包括单个怀孕和BMI≥50kg/m2的妇女 (研究组) 和其他妇女 (对照组).
- 数据来源于电子病历.
主要成果:
- 超肥胖 (BMI ≥50 kg/ m2) 发生在每1000名新生儿中的1名.
- 增加的BMI与高血压和糖尿病等母亲并发症有显著的相关性 (p < 0. 001).
- 超肥胖女性的剖腹产率高 (54%),胎儿生长异常 (SGA 12%,LGA 17%) 和死胎 (1%).
结论:
- 孕产妇和产周期的不良结果与孕产妇的肥胖直接成比例.
- 超肥胖孕妇的治疗需要专门的诊所和全面的多学科护理.
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