Obesity in Pregnancy: ACOG Practice Bulletin, Number 230
Obesity in Pregnancy: ACOG Practice Bulletin, Number 230
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DOI：
10.1097/aog.0000000000004395
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发表时间：
2021-06-01
影响因子：
7.2
通讯作者：
Koutrouvelis, Gayle Olson
中科院分区：
文献类型：
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作者：
Catalano, Patrick M.;Koutrouvelis, Gayle Olson
妇产科医生是妇女保健方面的主要专家，肥胖是育龄妇女最常见的医疗状况。女性肥胖是一种常见的疾病，由于缺乏具体的循证治疗方案，与怀孕相关的影响往往未被认识、忽视或忽视。肥胖症的管理需要长期的方法，从基于人群的公共卫生和经济举措到个人营养，行为或手术干预。因此，了解怀孕期间肥胖的管理是必不可少的，管理应该在怀孕前开始，并持续到产后。虽然肥胖妇女在怀孕期间的护理需要产科医生或其他产科护理专业人员的参与，但其他卫生保健专业人员，如营养师，可以根据产科护理专业人员的舒适程度提供与管理相关的具体专业知识。本实践公告的目的是为计划怀孕的育龄妇女的肥胖管理提供一种综合方法。
Obstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interventions. Therefore, an understanding of the management of obesity during pregnancy is essential, and management should begin before pregnancy and continue through the postpartum period. Although the care of the obese woman during pregnancy requires the involvement of the obstetrician or other obstetric care professional, additional health care professionals, such as nutritionists, can offer specific expertise related to management depending on the comfort level of the obstetric care professional. The purpose of this Practice Bulletin is to offer an integrated approach to the management of obesity in women of reproductive age who are planning a pregnancy.