New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know
New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know
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DOI：
10.1097/gco.0b013e328332d24e
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发表时间：
2009-12-01
影响因子：
2.1
通讯作者：
Yaktine, Ann L.
中科院分区：
文献类型：
--
作者：
Rasmussen, Kathleen M.;Catalano, Patrick M.;Yaktine, Ann L.
回顾的目的回顾最近发布的孕期体重增加指南。最近的发现这些指南的制定是为了尽量减少体重增加不足或过度对母亲和胎儿的负面健康后果。他们呼吁使用WHO/国家心肺血液研究所的截止点对妇女的孕前BMI进行分类，并提供体重不足（2840磅），正常体重（25-35磅），超重（15-25磅）和肥胖（11-20磅）孕妇的推荐体重增加范围。数据不足以为II类或III类肥胖的女性制定具体的指南。女性应该尝试以正常体重怀孕，以获得更好的产科结局。为了帮助妇女实现这一目标，有必要改善全面的孕前护理。大多数美国妇女目前的体重增加低于或高于新的范围，因此需要改变妇女的行为和如何管理她们的护理。从各种有关改善饮食和增加体力活动的干预措施的数据表明，个性化的护理可以帮助妇女在这些guidelines.SummaryThe指南内体重增加提供了许多机会，产科医生/妇科医生，连同辅助医疗保健提供者，承担更大的作用作为“妇女的保健医生”，并进行研究，可以改善母亲和儿童的健康。
Purpose of reviewTo review the recently issued guidelines for weight gain during pregnancy.Recent findingsThese guidelines were developed to minimize the negative health consequences for both mother and fetus of inadequate or excessive weight gain. They call for categorizing women's prepregnancy BMI using the WHO/National Heart, Lung and Blood Institute cutoff points and provide ranges of recommended weight gain for underweight (2840 lb), normal weight (25-35 lb), overweight (15-25 lb) and obese (11-20 lb) gravidas. Data were insufficient to construct specific guidelines for women with class II or class III obesity. Women should attempt to conceive at a normal weight for better obstetric outcomes. Improved comprehensive preconceptional care is necessary to help women reach this goal. Most American women currently gain weight below or above the new ranges, so changes are required in both women's behavior and how their care is managed. Data from a variety of interventions related to improved diet and increased physical activity show that individualized care can assist women in gaining weight within these guidelines.SummaryThe guidelines offer many opportunities for obstetrician/gynecologists, together with ancillary healthcare providers, to assume a larger role as 'women's healthcare physicians' and to conduct research that could improve the health of mothers and children.