Faculty of Health Sciences, Department of Obstetrics andGynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Perinat Med. 2013 Mar;41(2):133-40. doi: 10.1515/jpm-2012-0237.
The obesity epidemic is a problem of global importance with a profound impact on maternal-fetal health. Currently, 1 in 5 women, worldwide, are obese at time of conception. Normalizing pregravid weight may significantly reduce obstetrical complications and alter the long-term weight status of mother and child. Bariatric surgery is the most efficient form of weight loss in severely obese women. Surgery has the exciting potential to treat obesity in women of reproductive age and to prevent obesity-related reproductive complications. Pregnancy after bariatric surgery appears to be safe and is effective in reducing complications such as gestational diabetes mellitus, gestational hypertensive disorders and fetal macrosomia, but may result in an increase in neonates born small-for-gestational-age.
肥胖症是一个具有全球重要性的问题，对母婴健康有着深远的影响。目前，全球每 5 名女性中就有 1 人在受孕时肥胖。使孕前体重正常化可能会显著减少产科并发症，并改变母婴的长期体重状况。减重手术是严重肥胖女性最有效的减肥形式。手术有令人兴奋的潜力，可以治疗育龄妇女的肥胖症，并预防肥胖相关的生殖并发症。肥胖症患者接受减重手术后妊娠似乎是安全的，并且可以有效减少妊娠糖尿病、妊娠高血压疾病和胎儿巨大儿等并发症，但可能导致新生儿出生体重小于胎龄的比例增加。
