Phoenix Perinatal Associates, Obstetrix Medical Group of Phoenix, Department ofMaternal-Fetal Medicine, Phoenix, AZ, USA.
Am J Obstet Gynecol. 2011 Feb;204(2):106-19. doi: 10.1016/j.ajog.2010.10.002.
In recent years, the prevalence of obesity in the United States has risen dramatically, especially among women of reproductive age. Research that has specifically evaluated pregnancy outcomes among obese parturients has allowed for a better understanding of the myriad adverse perinatal complications that are observed with significantly greater frequency in the obese pregnant population. The antepartum, intrapartum, intraoperative, postoperative, and postpartum periods are all times in which the obese pregnant woman is at greater risk for adverse maternal-fetal outcomes, compared with her ideal bodyweight counterpart. Comorbid medical conditions that commonly are associated with obesity further accentuate perinatal risks. All obese pregnant women should be counseled regarding these risks, and strategies should be used to improve perinatal outcome whenever possible. Obese women of reproductive age ideally should be counseled before conception and advised to achieve ideal bodyweight before pregnancy.
近年来，美国肥胖症的患病率急剧上升，尤其是在育龄妇女中。专门评估肥胖产妇妊娠结局的研究使人们更好地了解到，肥胖孕妇人群中观察到的众多不良围产期并发症的发生频率明显更高。与理想体重的孕妇相比，肥胖孕妇在产前、产时、手术中、手术后和产后期间都面临更大的不良母婴结局风险。常见的与肥胖相关的合并症进一步加重了围产期风险。所有肥胖孕妇都应被告知这些风险，并且应采取策略尽可能改善围产期结局。理想情况下，应在育龄肥胖妇女受孕前对其进行咨询，并建议其在怀孕前达到理想体重。
