UCD School of Medicine and Medical Science, Coombe Women and Infants University Hospital, Dublin, Ireland.
Obes Facts. 2009;2(6):352-4. doi: 10.1159/000261951. Epub 2009 Dec 17.
The purpose of this retrospective cohort study was to review pregnancy outcomes in morbidly obese women who delivered a baby weighing 500 g or more in a large tertiary referral university hospital in Europe.
Morbid obesity was defined as a BMI > or =40.0 kg/m2 (WHO). Only women whose BMI was calculated at their first antenatal visit were included. The obstetric out-comes were obtained from the hospital's computerised database.
The incidence of morbid obesity was 0.6% in 5,824 women. Morbidly obese women were older and were more likely to be multigravidas than women with a normal BMI. The pregnancy was complicated by hypertension in 35.8% and diabetes mellitus in 20.0% of women. Obstetric interventions were high, with an induction rate of 42.1% and a caesarean section rate of 45.3%.
Our findings show that maternal morbid obesity is associated with an alarmingly high incidence of medical complications and an increased level of obstetric interventions. Consideration should be given to developing specialised antenatal services for morbidly obese women. The results also highlight the need to evaluate the effectiveness of prepregnancy interventions in morbidly obese women.
本回顾性队列研究旨在回顾在欧洲一家大型三级转诊大学医院中，体重 500 克或以上的巨大儿分娩的病态肥胖妇女的妊娠结局。
病态肥胖定义为 BMI>或=40.0kg/m2（WHO）。仅纳入在首次产前检查时计算 BMI 的妇女。产科结局从医院的计算机数据库中获得。
5824 名妇女中病态肥胖的发生率为 0.6%。病态肥胖妇女比正常 BMI 妇女年龄更大，且更有可能是多产妇。35.8%的妇女患有高血压，20.0%的妇女患有糖尿病。产科干预措施很高，诱导率为 42.1%，剖宫产率为 45.3%。
我们的研究结果表明，母体病态肥胖与令人震惊的高发病率的医学并发症和产科干预水平增加有关。应考虑为病态肥胖妇女开发专门的产前服务。这些结果还突出表明需要评估孕前干预对病态肥胖妇女的有效性。
