Obesity, obstetric complications and cesarean delivery rate - A population-based screening study
Obesity, obstetric complications and cesarean delivery rate - A population-based screening study
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DOI：
10.1016/j.ajog.2003.09.058
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发表时间：
2004-04-01
影响因子：
9.8
通讯作者：
D'Alton, ME
中科院分区：
文献类型：
--
作者：
Weiss, JL;Malone, FD;D'Alton, ME
目的：本研究旨在确定肥胖是否与产科并发症和剖宫产有关。方法：对一个大型前瞻性多中心数据库进行研究。受试者分为3组：体重指数（BMI）小于30（对照组），30至34.9（肥胖），35或更大（病态肥胖）。通过单变量和多变量logistic回归分析比较各组。结果：该研究包括16,102例患者：3,752例对照，1,473例肥胖和877例病态肥胖患者。肥胖和病态肥胖与妊娠期高血压（比值比[OR] 2.5和3.2）、先兆子痫（OR 1.6和3.3）、妊娠期糖尿病（OR 2.6和4.0）和胎儿出生体重大于4000 g（OR 1.7和1.9）和大于4500 g（OR 2.0和2.4）具有统计学显著相关性。对于未经产的患者，剖宫产率为20.7%的对照组，33.8%的肥胖，和47.4%的病态肥胖patients.Conclusion：肥胖是一个独立的危险因素，不良产科结局，并显着增加剖宫产率。(C)2004爱思唯尔公司All rights reserved.
Objective: This study was undertaken to determine whether obesity is associated with obstetric complications and cesarean delivery.Methods: A large prospective multicenter database was studied. Subjects were divided into 3 groups: body mass index (BMI) less than 30 (control), 30 to 34.9 (obese), and 35 or greater (morbidly obese). Groups were compared by using univariate and multivariable logistic regression analyses.Results: The study included 16,102 patients: 3,752 control, 1,473 obese, and 877 morbidly obese patients. Obesity and morbid obesity had a statistically significant association with gestational hypertension (odds ratios [ORs] 2.5 and 3.2), preeclampsia (ORs 1.6 and 3.3), gestational diabetes (ORs 2.6 and 4.0), and fetal birth weight greater than 4000 g (ORs 1.7 and 1.9) and greater than 4500 g (ORs 2.0 and 2.4). For nulliparous patients, the cesarean delivery rate was 20.7% for the control group, 33.8% for obese, and 47.4% for morbidly obese patients.Conclusion: Obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased cesarean delivery rate. (C) 2004 Elsevier Inc. All rights reserved.