预订体重指数超过 50 kg/m2 的单胎妇女的产妇和围产期结果。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Mia Shepherdson, Ashlee Koch, Willem Gheysen, Elizabeth Beare, Jan Ardui
{"title":"预订体重指数超过 50 kg/m2 的单胎妇女的产妇和围产期结果。","authors":"Mia Shepherdson, Ashlee Koch, Willem Gheysen, Elizabeth Beare, Jan Ardui","doi":"10.1111/ajo.13839","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Women with a body mass index (BMI) >35 kg/m<sup>2</sup> carry an increased obstetric risk; however, the experience of the Class IV and above obese nulliparous women is less understood.</p><p><strong>Aims: </strong>To describe maternal and perinatal outcomes in nulliparous women of booking BMI > 50 kg/m<sup>2</sup>.</p><p><strong>Materials and methods: </strong>A cohort study of 48 nulliparous women who delivered between 2015 and 2019 in a tertiary hospital and had a booking BMI > 50 kg/m<sup>2</sup>. Obstetric outcome data was collated via electronic and written patient records. The relationship between mode of delivery and BMI was assessed using direct logistic regression. Multiple pregnancies and severe congenital malformations (n = 3) were excluded.</p><p><strong>Results: </strong>The mean booking BMI was 53.7 kg/m<sup>2</sup> (SD 4.05) and mean maternal age was 30.4 years (SD = 5.7). Comorbidities included asthma (43%), essential hypertension (20%) and diabetes (61%). Antenatally, accuracy was compromised in 80% of morphology scans (n = 35). In the perinatal period, 33 women (68.8%) were induced compared to a spontaneous onset of labour in two (4.1%) women. There were nine elective caesarean sections (CS), five of which were for breech presentation. Of those who intended on vaginal delivery (n = 35), 51% (n = 18) had an emergency CS. In these women, the risk of CS increased by a factor of 1.36 for every one point increase in BMI > 50 kg/m<sup>2</sup>. The average gestational age was 37.5 weeks (SD 2.4) with 14% (n = 6) experiencing preterm deliveries. The incidence of babies born >90th percentile for gestational age was 15 (34%).</p><p><strong>Conclusion: </strong>Increased BMI impairs maternal and perinatal outcomes and significantly increases the risk of emergency CS. BMI > 50 kg/m<sup>2</sup> is associated with higher-level interventions and obstetric complications.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Maternal and perinatal outcomes in nulliparous women with a booking body mass index exceeding 50 kg/m<sup>2</sup>.\",\"authors\":\"Mia Shepherdson, Ashlee Koch, Willem Gheysen, Elizabeth Beare, Jan Ardui\",\"doi\":\"10.1111/ajo.13839\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Women with a body mass index (BMI) >35 kg/m<sup>2</sup> carry an increased obstetric risk; however, the experience of the Class IV and above obese nulliparous women is less understood.</p><p><strong>Aims: </strong>To describe maternal and perinatal outcomes in nulliparous women of booking BMI > 50 kg/m<sup>2</sup>.</p><p><strong>Materials and methods: </strong>A cohort study of 48 nulliparous women who delivered between 2015 and 2019 in a tertiary hospital and had a booking BMI > 50 kg/m<sup>2</sup>. Obstetric outcome data was collated via electronic and written patient records. The relationship between mode of delivery and BMI was assessed using direct logistic regression. Multiple pregnancies and severe congenital malformations (n = 3) were excluded.</p><p><strong>Results: </strong>The mean booking BMI was 53.7 kg/m<sup>2</sup> (SD 4.05) and mean maternal age was 30.4 years (SD = 5.7). Comorbidities included asthma (43%), essential hypertension (20%) and diabetes (61%). Antenatally, accuracy was compromised in 80% of morphology scans (n = 35). In the perinatal period, 33 women (68.8%) were induced compared to a spontaneous onset of labour in two (4.1%) women. There were nine elective caesarean sections (CS), five of which were for breech presentation. Of those who intended on vaginal delivery (n = 35), 51% (n = 18) had an emergency CS. In these women, the risk of CS increased by a factor of 1.36 for every one point increase in BMI > 50 kg/m<sup>2</sup>. The average gestational age was 37.5 weeks (SD 2.4) with 14% (n = 6) experiencing preterm deliveries. The incidence of babies born >90th percentile for gestational age was 15 (34%).</p><p><strong>Conclusion: </strong>Increased BMI impairs maternal and perinatal outcomes and significantly increases the risk of emergency CS. BMI > 50 kg/m<sup>2</sup> is associated with higher-level interventions and obstetric complications.</p>\",\"PeriodicalId\":55429,\"journal\":{\"name\":\"Australian & New Zealand Journal of Obstetrics & Gynaecology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian & New Zealand Journal of Obstetrics & Gynaecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ajo.13839\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian & New Zealand Journal of Obstetrics & Gynaecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ajo.13839","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:体重指数(BMI)大于35 kg/m2的女性产科风险增加;然而,人们对IV级及以上肥胖无产科妇女的经历了解较少。目的:描述预约体重指数大于50 kg/m2的无产科妇女的孕产妇和围产期结局:对2015年至2019年期间在一家三甲医院分娩且预订体重指数大于50 kg/m2的48名无产产妇进行队列研究。产科结果数据通过电子和书面病历进行整理。采用直接逻辑回归法评估分娩方式与 BMI 之间的关系。多胎妊娠和严重先天性畸形(n = 3)被排除在外:平均预约体重指数为 53.7 kg/m2(SD 4.05),平均孕产妇年龄为 30.4 岁(SD = 5.7)。合并症包括哮喘(43%)、原发性高血压(20%)和糖尿病(61%)。在产前,80%的形态扫描(n = 35)的准确性受到影响。在围产期,有 33 名妇女(68.8%)进行了引产,而有 2 名妇女(4.1%)是自然分娩。有 9 名产妇选择了剖腹产,其中 5 名是臀先露。在打算经阴道分娩的产妇(35 人)中,51%(18 人)进行了紧急剖腹产。在这些产妇中,体重指数(BMI)大于 50 kg/m2 的产妇每增加一个百分点,CS 的风险就增加 1.36 倍。平均胎龄为 37.5 周(标准差为 2.4),14%(n = 6)的产妇为早产。胎龄大于第 90 百分位数的婴儿有 15 个(34%):结论:体重指数升高会影响产妇和围产期的预后,并显著增加急诊剖腹产的风险。BMI > 50 kg/m2 与更高级别的干预和产科并发症有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Maternal and perinatal outcomes in nulliparous women with a booking body mass index exceeding 50 kg/m2.

Background: Women with a body mass index (BMI) >35 kg/m2 carry an increased obstetric risk; however, the experience of the Class IV and above obese nulliparous women is less understood.

Aims: To describe maternal and perinatal outcomes in nulliparous women of booking BMI > 50 kg/m2.

Materials and methods: A cohort study of 48 nulliparous women who delivered between 2015 and 2019 in a tertiary hospital and had a booking BMI > 50 kg/m2. Obstetric outcome data was collated via electronic and written patient records. The relationship between mode of delivery and BMI was assessed using direct logistic regression. Multiple pregnancies and severe congenital malformations (n = 3) were excluded.

Results: The mean booking BMI was 53.7 kg/m2 (SD 4.05) and mean maternal age was 30.4 years (SD = 5.7). Comorbidities included asthma (43%), essential hypertension (20%) and diabetes (61%). Antenatally, accuracy was compromised in 80% of morphology scans (n = 35). In the perinatal period, 33 women (68.8%) were induced compared to a spontaneous onset of labour in two (4.1%) women. There were nine elective caesarean sections (CS), five of which were for breech presentation. Of those who intended on vaginal delivery (n = 35), 51% (n = 18) had an emergency CS. In these women, the risk of CS increased by a factor of 1.36 for every one point increase in BMI > 50 kg/m2. The average gestational age was 37.5 weeks (SD 2.4) with 14% (n = 6) experiencing preterm deliveries. The incidence of babies born >90th percentile for gestational age was 15 (34%).

Conclusion: Increased BMI impairs maternal and perinatal outcomes and significantly increases the risk of emergency CS. BMI > 50 kg/m2 is associated with higher-level interventions and obstetric complications.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信