Department of Obstetrics and Gynaecology, Victoria Hospital, Kirkcaldy, Fife, UK.
Department of Obstetrics and Gynaecology, Victoria Hospital, Kirkcaldy, Fife, UK.
Best Pract Res Clin Obstet Gynaecol. 2015 Apr;29(3):309-19. doi: 10.1016/j.bpobgyn.2014.10.008. Epub 2014 Nov 1.
The prevalence of obesity has reached alarming proportions globally, and continues to rise in both developed and developing countries. Maternal obesity has become one of the most commonly occurring risk factors in obstetric practice. The 2003-2005 report of the Confidential Enquiries into Maternal Deaths in the United Kingdom highlighted obesity as a significant risk for maternal death [1]. More than half of all women who died from direct or indirect causes were either overweight or obese. For the mother, obesity increases the risk of obstetric complications during the antenatal, intrapartum and postnatal period, as well as contributing to technical difficulties with fetal assessment. The offspring of obese mothers also have a higher rate of perinatal morbidity and an increased risk of long-term health problems.
肥胖的流行率在全球范围内已经达到了惊人的程度,并在发达国家和发展中国家都持续上升。肥胖已经成为产科实践中最常见的危险因素之一。英国 2003-2005 年母婴死亡机密调查报告强调肥胖是导致产妇死亡的一个重要危险因素[1]。超过一半的因直接或间接原因死亡的妇女超重或肥胖。对于母亲而言,肥胖增加了产前、分娩和产后期间发生产科并发症的风险,并且对胎儿评估的技术难度也有影响。肥胖母亲的后代也有更高的围产期发病率和长期健康问题的风险。