Tasmanian Health Service-North West, Brickport Road, Burnie, TAS 7320, Australia.
Clifford Craig Foundation, Launceston, TAS 7250, Australia.
Int J Environ Res Public Health. 2021 Nov 16;18(22):12006. doi: 10.3390/ijerph182212006.
Maternal obesity in pregnancy, a growing health problem in Australia, adversely affects both mothers and their offspring. Gestational diabetes mellitus (GDM) is similarly associated with adverse pregnancy and neonatal complications. A low-risk digital medical record audit of antenatal and postnatal data of 2132 pregnant mothers who gave birth between 2016-2018 residing in rural-regional Tasmania was undertaken. An expert advisory group guided the research and informed data collection. Fifty five percent of pregnant mothers were overweight or obese, 43.6% gained above the recommended standards for gestational weight gain and 35.8% did not have an oral glucose tolerance test. The audit identified a high prevalence of obesity among pregnant women and low screening rates for gestational diabetes mellitus associated with adverse maternal and neonatal pregnancy outcomes. We conclude that there is a high prevalence of overweight and obesity among pregnant women in rural regional Tasmania. Further GDM screening rates are low, which require addressing.
孕妇肥胖是澳大利亚日益严重的健康问题，会对母亲及其后代产生不良影响。妊娠期糖尿病（GDM）同样与不良妊娠和新生儿并发症有关。对 2016 年至 2018 年间在塔斯马尼亚农村地区分娩的 2132 名孕妇的产前和产后数据进行了低风险数字医疗记录审核。一个专家咨询小组指导了这项研究并提供了数据收集。55%的孕妇超重或肥胖，43.6%的孕妇体重增加超过了妊娠期体重增加的推荐标准，35.8%的孕妇没有进行口服葡萄糖耐量试验。该审核发现，农村地区的孕妇肥胖率很高，妊娠期糖尿病的筛查率很低，这与不良的母婴妊娠结局有关。我们的结论是，塔斯马尼亚农村地区的孕妇超重和肥胖的比例很高。进一步的 GDM 筛查率很低，需要解决。
