Pregnancy Risks Associated with Obesity
Pregnancy Risks Associated with Obesity
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DOI：
10.1016/j.ogc.2015.01.008
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发表时间：
2015-06-01
影响因子：
3.2
通讯作者：
Caughey, Aaron B.
中科院分区：
文献类型：
--
作者：
Mission, John F.;Marshall, Nicole E.;Caughey, Aaron B.
在过去的几十年里，肥胖在美国急剧增加，大约40%的孕妇现在被认为超重或肥胖。肥胖已被证明与许多不良妊娠结局相关，包括先兆子痫、妊娠期糖尿病、巨大儿、死产、过期妊娠和剖宫产率增加。许多这些并发症已被发现，以剂量反应的方式，随着体重指数的增加，甚至进一步增加。在这篇综述中，肥胖与母亲，胎儿和妊娠结局的关系进行了讨论，为肥胖孕妇的护理建议。
Obesity has increased dramatically in the United States over the last several decades, with approximately 40% of pregnant women now considered overweight or obese. Obesity has been shown to be associated with numerous poor pregnancy outcomes, including increased rates of preeclampsia, gestational diabetes, fetal macrosomia, stillbirth, post-term pregnancy, and increased rates of cesarean delivery. Many of these complications have been found to increase even further with increasing body mass index in a dose-response fashion. In this review, the association of obesity with maternal, fetal, and pregnancy outcomes is discussed as are the recommendations for caring for the obese gravida.