Edwards L E, Dickes W F, Alton I R, Hakanson E Y
Am J Obstet Gynecol. 1978 Jul 1;131(5):479-83. doi: 10.1016/0002-9378(78)90106-0.
The obstetric performance and pregnancy outcome in 208 massively obese patients who were delivered over an eight-year period were compared with those of nonobese control subjects. The incidence of obesity in their infants was also compared. No significant increase in the incidence of urinary tract infection, diabetes, breech presentation, cesarean section, forceps delivery, or maternal and infant morbidity was noted in the obese women. Significantly increased incidences of hypertensive disorders of pregnancy (p less than 0.01), gestational diabetes (p less than 0.01), inadequate weight gain (p less than 0.001), and wound or episiotomy infection (p less than 0.05) were observed in the study group. The mean birth weight of the infants of obese women was 209 grams greater than that of the control subjects. A significantly increased number of the obese patients were delivered of excessive-sized infants. Despite this, the incidence of obesity in infants of obese women was not significantly increased at birth or six months of age. By 12 months of age, however, these infants were significantly more obese than the control infants.
将208例在八年期间分娩的极度肥胖患者的产科表现和妊娠结局与非肥胖对照受试者进行比较。还比较了其婴儿的肥胖发生率。肥胖女性的尿路感染、糖尿病、臀位、剖宫产、产钳分娩或母婴发病率均未显著增加。研究组观察到妊娠高血压疾病（p<0.01）、妊娠期糖尿病（p<0.01）、体重增加不足（p<0.001）以及伤口或会阴切开术感染（p<0.05）的发生率显著增加。肥胖女性婴儿的平均出生体重比对照受试者重209克。肥胖患者分娩出超大婴儿的数量显著增加。尽管如此，肥胖女性婴儿在出生时或六个月大时的肥胖发生率并未显著增加。然而，到12个月大时，这些婴儿比对照婴儿明显更肥胖。
