Ruge S, Andersen T
Obstet Gynecol Surv. 1985 Feb;40(2):57-60. doi: 10.1097/00006254-198502000-00001.
In order to evaluate the obstetric risks in obesity a partly computerized literature search was performed. Irrespective of language, papers published between 1960 and 1982 were included, provided that they were original and controlled studies on obstetric complications among women with a stated degree of overweight. Out of 143 publications 26 fulfilled the criteria and were included. They revealed information on 10,440 cases. Most reported subjects were only moderately obese. Thirty-seven complications were stated in one or more publications as being significantly more prevalent among obese women compared with lean controls. However, as data were often scarce or highly conflicting, it is concluded that an increased risk is only sufficiently documented with regard to a minority of these complications. They are: preeclampsia as well as each separate element of this disorder, diabetes mellitus, varicose veins, and the need for caesarean section. The significantly increased birth weight of the infants did not induce increase of labor complications.
为评估肥胖症患者的产科风险，我们进行了部分计算机化文献检索。检索范围不限语言，纳入1960年至1982年间发表的论文，前提是这些论文为关于特定超重程度女性产科并发症的原创性对照研究。在143篇出版物中，26篇符合标准并被纳入。这些文献涵盖了10440例病例的信息。大多数报告的研究对象只是中度肥胖。在一篇或多篇出版物中指出，与瘦对照组相比，37种并发症在肥胖女性中明显更为普遍。然而，由于数据往往稀少或高度矛盾，得出的结论是，只有少数这些并发症的风险增加有充分记录。它们是：先兆子痫及其该病症的各个单独要素、糖尿病、静脉曲张以及剖宫产需求。婴儿出生体重显著增加并未导致分娩并发症增加。
