Galtier-Dereure F, Boulot P
Service de maladies endocriniennes, Hôpital Lapeyronie, CHU de Montpellier.
Contracept Fertil Sex. 1994 Feb;22(2):113-6.
Overweight is associated with a higher risk of cardiovascular and metabolic disease. Pregnancy in obese women frequently results in an increased incidence of maternal complications (gestational diabetes, hypertension, toxemia) and adverse perinatal outcome (macrosomia, perinatal mortality). Cesarean deliveries are also more frequent in obese women, mainly because of cephalopelvic dysproportion due to macrosomia. Optimal treatment for gestational diabetes is difficult to achieve, although hyperglycemia further impairs maternofoetal prognosis. The incidence of intrauterine growth retardation is not increased in obese pregnancy. A successful obstetrical outcome may be achievable through multidisciplinary antenatal management.
超重与心血管和代谢疾病的较高风险相关。肥胖女性怀孕常导致孕产妇并发症（妊娠期糖尿病、高血压、毒血症）的发生率增加以及不良围产期结局（巨大儿、围产期死亡率）。肥胖女性剖宫产的发生率也更高，主要是由于巨大儿导致的头盆不称。尽管高血糖会进一步损害母婴预后，但妊娠期糖尿病的最佳治疗仍难以实现。肥胖孕妇中胎儿宫内生长受限的发生率并未增加。通过多学科产前管理可能实现成功的产科结局。
