Hershman Melissa, Mei Rena, Kushner Tatyana
Dr Hershman is a fellow in the Division of Gastroenterology at Mount Sinai Beth Israel, Mount Sinai St. Luke's, and Mount Sinai West in New York, New York. Ms Mei is a medical student at the Icahn School of Medicine at Mount Sinai in New York, New York. Dr Kushner is an assistant professor of medicine in the Division of Liver Diseases at the Icahn School of Medicine at Mount Sinai.
Gastroenterol Hepatol (N Y). 2019 Apr;15(4):221-228.
With an estimated 10% prevalence of nonalcoholic fatty liver disease (NAFLD) among women of childbearing age, it is important to understand the implications of this disease on pregnancy. This article explores the relationship between NAFLD and gestational diabetes mellitus, the implications of maternal NAFLD on both the pregnancy and the infant, and the effects of breastfeeding on maternal and offspring health. Prospective studies and sensitive diagnostic techniques for the evaluation of NAFLD during pregnancy are limited; however, emerging evidence suggests that appropriate counseling and monitoring of patients with, or at risk of developing, NAFLD during pregnancy may have significant benefits on maternal and child health.
据估计，育龄女性中非酒精性脂肪性肝病（NAFLD）的患病率为10%，因此了解这种疾病对妊娠的影响很重要。本文探讨了NAFLD与妊娠期糖尿病之间的关系、母体NAFLD对妊娠和婴儿的影响，以及母乳喂养对母体和后代健康的影响。用于评估孕期NAFLD的前瞻性研究和敏感诊断技术有限；然而，新出现的证据表明，对孕期患有NAFLD或有患NAFLD风险的患者进行适当的咨询和监测，可能对母婴健康有显著益处。
