Maternal Morbid Obesity and Obstetric Outcomes
Maternal Morbid Obesity and Obstetric Outcomes
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DOI：
10.1159/000261951
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发表时间：
2009-01-01
期刊：
影响因子：
3.6
通讯作者：
Turner, Michael J.
中科院分区：
文献类型：
--
作者：
Farah, Nadine;Maher, Niamh;Turner, Michael J.
目的：这项回顾性队列研究的目的是回顾在欧洲一家大型三级转诊大学医院分娩体重500 g或以上婴儿的病态肥胖妇女的妊娠结局。方法：病态肥胖定义为BMI ≥ 40.0 kg/m2（WHO）。只有在第一次产前检查时计算BMI的妇女才被纳入。产科结果从医院的计算机数据库中获得。结果：在5,824名妇女中，病态肥胖的发生率为0.6%。病态肥胖的妇女年龄较大，比BMI正常的妇女更容易多次怀孕。妊娠合并高血压占35.8%，糖尿病占20.0%。产科干预率很高，引产率为42.1%，剖腹产率为45.3%。结论：我们的研究结果表明，产妇病态肥胖与高发病率的医疗并发症和产科干预水平的增加。应考虑为病态肥胖妇女提供专门的产前服务。研究结果还强调了需要评估孕前干预措施对病态肥胖妇女的有效性。
Objective: The purpose of this retrospective cohort study was to review pregnancy outcomes in morbidly obese women who delivered a baby weighing 500 g or more in a large tertiary referral university hospital in Europe. Methods: Morbid obesity was defined as a BMI >= 40.0 kg/m(2) (WHO). Only women whose BMI was calculated at their first antenatal visit were included. The obstetric outcomes were obtained from the hospital's computerised database. Results: The incidence of morbid obesity was 0.6% in 5,824 women. Morbidly obese women were older and were more likely to be multigravidas than women with a normal BMI. The pregnancy was complicated by hypertension in 35.8% and diabetes mellitus in 20.0% of women. Obstetric interventions were high, with an induction rate of 42.1% and a caesarean section rate of 45.3%. Conclusions: Our findings show that maternal morbid obesity is associated with an alarmingly high incidence of medical complications and an increased level of obstetric interventions. Consideration should be given to developing specialised antenatal services for morbidly obese women. The results also highlight the need to evaluate the effectiveness of pre-pregnancy interventions in morbidly obese women.