肥胖症手术后孕妇的产科结局及并发症综述
A Review of Obstetrical Outcomes and Complications in Pregnant Women after Bariatric Surgery.
作者信息
Haseeb Yasmeen A
机构信息
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
出版信息
Sultan Qaboos Univ Med J. 2019 Nov;19(4):e284-e290. doi: 10.18295/squmj.2019.19.04.003. Epub 2019 Dec 22.
Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental effects on fetomaternal health. There is paucity of data regarding small for gestational age intrauterine growth restriction, premature rupture of membranes and long-term effects on the children born to women who underwent BS.
减重手术是一种新型的减重治疗方法，对健康有益且效果持久。本综述旨在总结关于接受减重手术后妊娠的母胎结局以及最常见挑战和并发症的现有证据。检索了谷歌学术（谷歌有限责任公司，美国加利福尼亚州山景城）和PubMed（美国国立医学图书馆，美国马里兰州贝塞斯达）数据库中截至2018年12月发表的文章。本综述共纳入64篇文章，结果表明减重手术可降低妊娠期糖尿病、妊娠高血压疾病和巨大儿的风险。然而，它也可能对母胎健康产生不利影响。关于小于胎龄儿、胎膜早破以及对接受减重手术的女性所生孩子的长期影响的数据较少。
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