超级病态肥胖患者的孕期护理
Pregnancy Care for Patients With Super Morbid Obesity.
作者信息
Olerich Kelsey, Soper David, Delaney Shani, Sterrett Mary
机构信息
Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, United States.
出版信息
Front Pediatr. 2022 Jul 19;10:839377. doi: 10.3389/fped.2022.839377. eCollection 2022.
Abstract
The patient with obesity represents unique challenges to the medical community and, in the setting of pregnancy, additional risks to both mother and fetus. This document will focus on the risks and considerations needed to care for the women with obesity and her fetus during the antepartum, intrapartum, and immediate postpartum stages of pregnancy. Specific attention will be given to pregnancy in the setting of class III and super morbid obesity.
摘要
肥胖患者给医学界带来了独特的挑战，而在妊娠情况下，对母亲和胎儿都会带来额外风险。本文将重点关注在妊娠的产前、产时和产后即刻阶段，照顾肥胖女性及其胎儿所需面对的风险和注意事项。将特别关注Ⅲ级肥胖和超级病态肥胖情况下的妊娠。
相似文献
1
Pregnancy Care for Patients With Super Morbid Obesity.超级病态肥胖患者的孕期护理
Front Pediatr. 2022 Jul 19;10:839377. doi: 10.3389/fped.2022.839377. eCollection 2022.
2
Maternal body mass index and risk of obstetric, maternal and neonatal outcomes: A cohort study of nulliparous women with spontaneous onset of labor.孕妇体重指数与产科、孕产妇及新生儿结局风险：一项关于自然临产初产妇的队列研究
Acta Obstet Gynecol Scand. 2021 Mar;100(3):521-530. doi: 10.1111/aogs.14017. Epub 2020 Nov 27.
3
Prepregnancy maternal body mass index and venous thromboembolism: a population-based cohort study.孕前母体体重指数与静脉血栓栓塞症：基于人群的队列研究。
BJOG. 2019 Apr;126(5):581-588. doi: 10.1111/1471-0528.15567. Epub 2018 Dec 19.
4
Comparison of maternal and perinatal outcomes in women with super obesity based on planned mode of delivery.基于计划分娩方式的极度肥胖女性的孕产妇及围产期结局比较
Aust N Z J Obstet Gynaecol. 2019 Jun;59(3):387-393. doi: 10.1111/ajo.12870. Epub 2018 Aug 13.
5
Surgical Risks and Costs of Care are Greater in Patients Who Are Super Obese and Undergoing THA.超级肥胖且正在接受全髋关节置换术的患者，手术风险和护理成本更高。
Clin Orthop Relat Res. 2016 Nov;474(11):2472-2481. doi: 10.1007/s11999-016-5039-1. Epub 2016 Aug 25.
6
Anaesthetic and obstetric challenges of morbid obesity in caesarean deliveries--a study in South-eastern Nigeria.剖宫产中病态肥胖的麻醉和产科挑战——尼日利亚东南部的一项研究
Afr Health Sci. 2012 Mar;12(1):54-7.
7
Maternal super-obesity.母亲过度肥胖。
Arch Gynecol Obstet. 2016 May;293(5):987-92. doi: 10.1007/s00404-015-3921-9. Epub 2015 Oct 23.
8
Obesity and the Critical Care Pregnant Patient.肥胖与危重症孕产妇
Obstet Gynecol Clin North Am. 2016 Dec;43(4):767-778. doi: 10.1016/j.ogc.2016.07.012. Epub 2016 Oct 14.
9
Adolescent Pregnancy Guidelines.青少年怀孕指南。
J Obstet Gynaecol Can. 2015 Aug;37(8):740-756. doi: 10.1016/S1701-2163(15)30180-8.
10
Anesthetic Management of a Super Morbidly Obese Obstetric Patient With a Body Mass Index of 109 kg/m2 Presenting for Her Fourth Caesarean Delivery.一位体重指数为109kg/m²的超级病态肥胖产科患者行第四次剖宫产的麻醉管理
Cureus. 2020 Nov 30;12(11):e11803. doi: 10.7759/cureus.11803.
引用本文的文献
1
Association Between Prepregnancy Body Mass Index and Newborn Breastfeeding Initiation.孕前体重指数与新生儿母乳喂养启动的关系。
Breastfeed Med. 2024 Apr;19(4):275-283. doi: 10.1089/bfm.2023.0262. Epub 2024 Mar 27.
2
Pregnancy following assisted reproductive technology in morbidly obese patients: assessment of feto-maternal outcomes.肥胖患者接受辅助生殖技术后的妊娠：胎儿-母体结局评估。
J Assist Reprod Genet. 2024 Apr;41(4):903-914. doi: 10.1007/s10815-024-03065-1. Epub 2024 Feb 21.
3
Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery.肥胖女性妊娠的医学和心理方面及减重手术后的妊娠问题。
Nutrients. 2023 Oct 8;15(19):4289. doi: 10.3390/nu15194289.
4
Is a Higher Body Mass Index a Risk Factor for Developing Antiphospholipid Antibody Syndrome?较高的体重指数是发生抗磷脂抗体综合征的危险因素吗？
Cureus. 2023 Aug 5;15(8):e42982. doi: 10.7759/cureus.42982. eCollection 2023 Aug.
本文引用的文献
1
Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement.妊娠期糖尿病筛查：美国预防服务工作组推荐声明。
JAMA. 2021 Aug 10;326(6):531-538. doi: 10.1001/jama.2021.11922.
2
Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy: US Preventive Services Task Force Recommendation Statement.行为咨询干预以促进孕期健康体重和体重增加：美国预防服务工作组推荐声明。
JAMA. 2021 May 25;325(20):2087-2093. doi: 10.1001/jama.2021.6949.
3
Obesity in Pregnancy: ACOG Practice Bulletin, Number 230.孕期肥胖：美国妇产科医师学会实践公告第 230 号。
Obstet Gynecol. 2021 Jun 1;137(6):e128-e144. doi: 10.1097/AOG.0000000000004395.
4
Effect of Prophylactic Negative Pressure Wound Therapy vs Standard Wound Dressing on Surgical-Site Infection in Obese Women After Cesarean Delivery: A Randomized Clinical Trial.预防性负压伤口治疗与标准伤口敷料对肥胖女性剖宫产术后手术部位感染的影响：一项随机临床试验。
JAMA. 2020 Sep 22;324(12):1180-1189. doi: 10.1001/jama.2020.13361.
5
Maternal Thyroid Dysfunction During Pregnancy and the Risk of Adverse Outcomes in the Offspring: A Systematic Review and Meta-Analysis.母亲妊娠期甲状腺功能障碍与后代不良结局风险：系统评价和荟萃分析。
J Clin Endocrinol Metab. 2020 Dec 1;105(12). doi: 10.1210/clinem/dgaa555.
6
Severity of fetal growth restriction stratified according to maternal obesity.根据母体肥胖程度分层的胎儿生长受限严重程度。
J Matern Fetal Neonatal Med. 2022 May;35(10):1886-1890. doi: 10.1080/14767058.2020.1773427. Epub 2020 Jun 1.
7
Thyroid Disease in Pregnancy: ACOG Practice Bulletin Summary, Number 223.妊娠期甲状腺疾病：ACOG 实践通报摘要，第 223 号。
Obstet Gynecol. 2020 Jun;135(6):1496-1499. doi: 10.1097/AOG.0000000000003894.
8
Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections.剖宫产术前用消毒液进行阴道准备以预防术后感染。
Cochrane Database Syst Rev. 2020 Apr 26;4(4):CD007892. doi: 10.1002/14651858.CD007892.pub7.
9
Gestational Diabetes Mellitus and the Long-Term Risk for Glucose Intolerance and Overweight in the Offspring: A Narrative Review.妊娠期糖尿病与子代糖耐量异常及超重的长期风险：一项叙述性综述
J Clin Med. 2020 Feb 22;9(2):599. doi: 10.3390/jcm9020599.
10
Evaluation of an external fetal electrocardiogram monitoring system: a randomized controlled trial.评估一种外部胎儿心电图监测系统：一项随机对照试验。
Am J Obstet Gynecol. 2020 Aug;223(2):244.e1-244.e12. doi: 10.1016/j.ajog.2020.02.012. Epub 2020 Feb 20.
Zotero 插件