沙特肥胖孕妇的产科结局：一家教学医院的队列前瞻性研究。
Obstetric Outcome in Obese Saudi Pregnant Women: A Cohort Prospective Study at a Teaching Hospital.
作者信息
Haseeb Yasmeen A
机构信息
Department of Obstetics and Gynecology, College of Medicine, University of Dammam, Dammam, Saudi Arabia.
出版信息
Saudi J Med Med Sci. 2017 May-Aug;5(2):142-144. doi: 10.4103/1658-631X.204874. Epub 2017 Apr 20.
OBJECTIVE
The objective of this study was to compare obstetrical outcome in obese women with a body mass index (BMI) ≥29.9 kg/m and women with a normal BMI of 20-24.9 kg/m.
METHODS
This is a prospective cohort study of 300 Saudi females aged between 20 and 35 years in their first trimester of pregnancy and 300 nonobese pregnant controls attending the King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. Patients with a preexisting disease were excluded from the study.
RESULTS
A significantly higher proportion of obstetrical complications were seen among women with higher BMI compared with those with a normal BMI. The specific complications seen in obese women were gestational hypertension/preeclampsia, antepartum hemorrhage, gestational diabetes, postpartum hemorrhage, cesarean delivery, macrosomia, shoulder dystocia, birth asphyxia, neonatal intensive care admission, premature birth, wound complications and thromboembolism.
CONCLUSION
Obesity in pregnancy is associated with higher fetomaternal morbidities and a comprehensive plan should be implemented to provide a better outcome for both women and their infants.
目的
本研究的目的是比较体重指数（BMI）≥29.9 kg/m²的肥胖女性与BMI正常（20 - 24.9 kg/m²）的女性的产科结局。
方法
这是一项前瞻性队列研究，研究对象为沙特阿拉伯胡拜尔法赫德国王大学医院的300名年龄在20至35岁之间、处于妊娠早期的沙特女性，以及300名非肥胖孕妇对照。患有既往疾病的患者被排除在研究之外。
结果
与BMI正常的女性相比，BMI较高的女性中产科并发症的比例显著更高。肥胖女性出现的具体并发症有妊娠期高血压/子痫前期、产前出血、妊娠期糖尿病、产后出血、剖宫产、巨大儿、肩难产、出生窒息、新生儿重症监护病房收治、早产、伤口并发症和血栓栓塞。
结论
妊娠肥胖与更高的母婴发病率相关，应实施全面计划，为女性及其婴儿提供更好的结局。
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