肥胖对怀孕和胎儿产妇后果的影响
Faryal Rehman1, Summaya Asmat2,3, Noreen Mehsud1
1Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar, PAK.
Cureus
|November 12, 2025
概括
孕产妇肥胖显著增加了母亲和新生儿的风险. 较高的肥胖水平与更多的并发症相关,包括妊娠高血压,孕前和NICU入院,突出了需要专门的产前护理的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 周围生理学 周围生理学
背景情况:
- 孕产妇肥胖是一个重大的公共卫生挑战,与不良妊娠结果有关.
- 了解不同程度的肥胖对母亲和胎儿健康的影响对于降低风险至关重要.
研究的目的:
- 评估母亲肥胖对妊娠并发症和结果的影响.
- 为了比较不同层次的怀孕期间肥胖的孕产妇和胎儿健康指标.
主要方法:
- 一项为期12个月的前性比较队列研究,涉及178名体重指数 (BMI) ≥30kg/m2的孕妇.
- 根据BMI,参与者被分为两组:A组 (30-34.9 kg/m2) 和B组 (≥35 kg/m2).
- 记录了母亲和胎儿的结果,并使用SPSS进行了统计分析 (基平方,独立的t测试).
主要成果:
- 与A组相比,B组 (BMI≥35 kg/m2) 的妊娠高血压,孕前,剖腹产和伤口感染率显著更高.
- 新生儿结局在B组较差,宏观的比率增加,阿帕格得分较低,新生儿重症监护室 (NICU) 的入院.
- 复合胎儿产妇发病率在较高肥胖群体 (B组) 中明显更为普遍.
结论:
- 高度的孕产妇肥胖与增加的孕产妇和新生儿并发症密切相关.
- 对于肥胖的孕妇来说,早期诊断和专业的产前护理对于减轻风险和改善结果至关重要.
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