Galtier-Dereure F, Montpeyroux F, Boulot P, Bringer J, Jaffiol C
Service des Maladies Endocriniennes, Hôpital Lapeyronie, Montpellier, France.
Int J Obes Relat Metab Disord. 1995 Jul;19(7):443-8.
To investigate the incidence of pregnancy complications and the cost of prenatal care in patients with pregravid overweight.
Retrospective study of patients dispatched into four groups: normal weight, moderate overweight, obesity, massive obesity.
Department of Obstetrics and Gynecology of Montpellier.
One hundred and twelve pregnancies among 89 overweight women, compared with 54 healthy normal weight controls.
Incidence of maternal complications, complications of labor, duration of hospitalization.
Hypertension, toxemia, gestational diabetes, insulin treatment, urinary tract infections and macrosomia were positively correlated with maternal pregravid weight excess. Mean duration of hospitalization and overall cost were also strongly related to maternal weight. Cesarean section rate increased only in morbidly obese women. No materno-fetal mortality was observed in our study.
Even moderate overweight is a significant risk factor for obstetrical complications and needs a multidisciplinary antenatal management in order to prevent materno-fetal complications.
探讨孕前超重患者妊娠并发症的发生率及产前检查费用。
对分为四组的患者进行回顾性研究：正常体重、中度超重、肥胖、重度肥胖。
蒙彼利埃妇产科。
89名超重女性中的112例妊娠，与54名健康正常体重对照者进行比较。
孕产妇并发症发生率、分娩并发症、住院时间。
高血压、毒血症、妊娠期糖尿病、胰岛素治疗、尿路感染和巨大儿与孕前孕产妇体重超重呈正相关。平均住院时间和总费用也与孕产妇体重密切相关。剖宫产率仅在病态肥胖女性中增加。本研究未观察到母婴死亡。
即使是中度超重也是产科并发症的重要危险因素，需要多学科产前管理以预防母婴并发症。
