肥胖对足月妊娠自发性分娩和计划分娩率的影响。
The effect of obesity on the onset of spontaneous labor and scheduled delivery rates in term pregnancies.
机构信息
Department of Obstetrics and Gynecology, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital, Diyarbakır, Turkey.
Unit of Gynecology and Obstetrics, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
出版信息
Taiwan J Obstet Gynecol. 2020 Jan;59(1):34-38. doi: 10.1016/j.tjog.2019.10.002.
OBJECTIVE
To determine the effect of obesity on the onset of spontaneous labor, scheduled delivery rates and perinatal outcomes in term pregnancies.
MATERIAL AND METHODS
242 obese and 244 non-obese pregnant women ≥37 gestational weeks were compared in terms of the onset of spontaneous labor, scheduled delivery rates and perinatal outcomes.
RESULTS
Obese pregnant women had statistically significantly lower onset of spontaneous labor and higher rates of scheduled delivery. No difference was determined in respect of the type of delivery, 1st and 5th minutes APGAR scores and the need for intensive care. Higher values of birth weight, large for gestational age, macrosomia, gestational diabetes mellitus and preeclampsia were determined in obese women.
CONCLUSION
The onset of spontaneous labor rates in term obese pregnancies were lower and scheduled delivery rates were higher than in the non-obese pregnancies. However, more extensive studies are needed to better understand this relationship.
目的
探讨肥胖对足月妊娠自发性分娩发动、计划性分娩率及围产结局的影响。
材料与方法
将 242 例肥胖孕妇和 244 例非肥胖孕妇（均≥37 孕周）进行比较，比较两组孕妇自发性分娩发动情况、计划性分娩率及围产结局。
结果
肥胖孕妇的自发性分娩发动率显著低于非肥胖孕妇，计划性分娩率显著高于非肥胖孕妇。两组孕妇的分娩方式、1 分钟和 5 分钟 Apgar 评分及需要重症监护的比例无显著差异。肥胖孕妇的出生体重大、大于胎龄儿、巨大儿、妊娠期糖尿病和子痫前期的发生率更高。
结论
与非肥胖孕妇相比，足月肥胖孕妇的自发性分娩发动率较低，计划性分娩率较高。然而，需要进一步开展广泛的研究来更好地理解这种关系。
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