Garbaciak J A, Richter M, Miller S, Barton J J
Am J Obstet Gynecol. 1985 May 15;152(2):238-45. doi: 10.1016/s0002-9378(85)80029-6.
The effect of obesity alone was investigated among 16,858 women who were delivered of their infants within a 12-month period. Complete analysis was possible for 9667 patients who were divided into four weight categories and separated into two groups, with and without complications. Perinatal mortality, infant size, and the primary cesarean delivery rate were calculated for each group. Among 2597 women with antenatal complications, there was a significant increase in perinatal mortality (p less than 0.001), primary cesarean delivery (p less than 0.02), and mean infant birth weight (p less than 0.01) in the obese and the morbidly obese gravid women. Among 7070 women without antenatal complications there was a significant increase in primary cesarean delivery (p less than 0.001) and mean infant birth weight (p less than 0.01) but not perinatal mortality in the obese and the morbidly obese gravid women. Obesity alone does not appear to affect the perinatal mortality rate but it increases the likelihood of cesarean delivery in the morbidly obese patient.
在12个月内分娩的16858名女性中，仅对肥胖的影响进行了调查。对9667名患者进行了完整分析，这些患者被分为四个体重类别，并分为两组，有并发症组和无并发症组。计算了每组的围产期死亡率、婴儿大小和初次剖宫产率。在2597名有产前并发症的女性中，肥胖和病态肥胖孕妇的围产期死亡率（p<0.001）、初次剖宫产率（p<0.02）和婴儿平均出生体重（p<0.01）均显著增加。在7070名无产前并发症的女性中，肥胖和病态肥胖孕妇的初次剖宫产率（p<0.001）和婴儿平均出生体重（p<0.01）显著增加，但围产期死亡率没有增加。仅肥胖似乎不会影响围产期死亡率，但会增加病态肥胖患者剖宫产的可能性。
