Michlin R, Oettinger M, Odeh M, Khoury S, Ophir E, Barak M, Wolfson M, Strulov A
Department of Obstetrics and Gynecology, Western Galilee Medical Center, Nahariya, Israel.
Isr Med Assoc J. 2000 Jan;2(1):10-3.
Obesity, a common condition in developed countries, is recognized as a threat to health.
To describe the distribution of weight in pregnant women and evaluate the influence of obesity on pregnancy outcome in a high parity northern Israeli population.
The study included 887 women who gave birth in the Western Galilee Medical Center during the period August to November 1995. The patients were classified as underweight, normal weight, overweight, or obese according to body mass index. Maternal demographic, obstetric, and perinatal variables were compared. A control group of 167 normal weight women were matched with the obese group for maternal age, parity, and gestational age.
Obese mothers had a higher incidence of gestational diabetes and pregnancy-induced hypertension compared to normal weight mothers (5.4% vs. 1.8%, and 7.2% vs. 0.6% respectively, P < 0.01), a higher rate of labor induction (20.4% vs. 10.2%, P < 0.01), and a higher cesarean section rate (19.6% vs. 10.8%, P < 0.05). There was also a significant difference in the prevalence of macrosomia in the offspring (16.8% vs. 8.4%, P < 0.05).
Obese pregnant women are at high risk for complications during delivery and therefore need careful pre-conception and prenatal counseling, as well as perinatal management.
肥胖是发达国家的常见病症，被视为对健康的一种威胁。
描述以色列北部高生育次数人群中孕妇的体重分布情况，并评估肥胖对妊娠结局的影响。
该研究纳入了1995年8月至11月期间在加利利西部医疗中心分娩的887名妇女。根据体重指数将患者分为体重过轻、正常体重、超重或肥胖。比较产妇的人口统计学、产科和围产期变量。选取167名正常体重妇女作为对照组，在产妇年龄、生育次数和孕周方面与肥胖组进行匹配。
与正常体重的母亲相比，肥胖母亲患妊娠期糖尿病和妊娠高血压的发生率更高（分别为5.4%对1.8%，7.2%对0.6%，P<0.01），引产率更高（20.4%对10.2%，P<0.01），剖宫产率也更高（19.6%对10.8%，P<0.05）。后代巨大儿的患病率也存在显著差异（16.8%对8.4%，P<0.05）。
肥胖孕妇在分娩期间发生并发症的风险很高，因此需要进行仔细的孕前和产前咨询以及围产期管理。
