School of Medicine, Department of Obstetrics and Gynecology, University of Colorado, Denver, Aurora, CO, USA.
MCN Am J Matern Child Nurs. 2012 Mar-Apr;37(2):110-5. doi: 10.1097/NMC.0b013e3182430296.
Approximately 30% of pregnant women are obese (body mass index [BMI] ≥ 30) and are at risk for adverse pregnancy outcomes. In this article, we review the literature on select obstetrical risks associated with maternal obesity and assess the recommended prevention and management strategies. The selected risks include infertility, fetal anomalies, gestational hypertensive diseases, gestational diabetes, intrauterine fetal death, cesarean birth, macrosomia, and long-term risks of adult disease for the fetus. The causes of these adverse outcomes include maternal body habitus, the proinflammatory state of obesity, and metabolic dysfunction. We also discuss how nurses, nurse practitioners, and nurse-midwives can make a difference in the prenatal care and immediate pregnancy outcomes of pregnant women with obesity and influence future health for these women and their children.
约 30%的孕妇肥胖（体重指数 [BMI]≥30），存在不良妊娠结局风险。本文综述了与母体肥胖相关的特定产科风险的文献，并评估了推荐的预防和管理策略。这些选定的风险包括不孕、胎儿畸形、妊娠高血压疾病、妊娠糖尿病、胎儿宫内死亡、剖宫产、巨大儿以及胎儿成年后疾病的长期风险。这些不良结局的原因包括母体体型、肥胖的炎症状态和代谢功能障碍。我们还讨论了护士、执业护士和助产士如何在肥胖孕妇的产前护理和即刻妊娠结局方面发挥作用，并影响这些女性及其子女的未来健康。
