与妊娠前肥胖或孕期体重增加过多有关的围产期不良后果。

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Perinatal Medicine Pub Date : 2024-10-30 DOI:10.1515/jpm-2024-0181

Antonia A D Oliveira, Tassiana C M Grabovski, Carla C Renzo, Leonardo S Carvalho, Fabiana B Nerbass, Jean C Silva

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引用次数: 0

摘要

目的评估与妊娠前肥胖和孕期体重增加过多有关的结果：这项回顾性队列研究于 2020 年 8 月至 12 月进行。参与者分为四组：非肥胖且体重未过度增加组（765 人，占 45.9%）、肥胖且体重未过度增加组（190 人，占 11.4%）、非肥胖且体重过度增加组（532 人，占 31.9%）和肥胖且体重过度增加组（179 人，占 10.7%）。对妊娠糖尿病（GDM）、妊娠高血压（PIH）、新生儿胎龄过大（LGA）和剖宫产的结果进行了评估。结果第 2 组（CR, 3.6; 95 %CI, 2.5-5.2）和第 4 组（CR, 1.9; 95 %CI, 1.3-2.9）发生 GDM 的几率很大。第 3 组（CR, 1.7; 95 %CI, 1-2.6）和第 4 组（CR,3.1; 95 %CI, 1.9-5.2）PIH 的几率以及第 2 组（CR, 2.0; 95 %CI, 1.2-3.3）、第 3 组（CR, 2.6; 95 %CI, 1.9-3.7）和第 4 组（CR, 3.2; 95 %CI, 2-5）LGA 新生儿的几率较高：孕前肥胖的参与者发生 GDM 的几率更高，而体重增加过多的参与者发生 PIH 的几率更高。除参照组外，所有分析组的新生儿患 lga 的几率都较高。

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Adverse perinatal outcomes related to pregestational obesity or excessive weight gain in pregnancy.

Objectives: To evaluate outcomes related to pregestational obesity and excessive weight gain during pregnancy.

Methods: This retrospective cohort was conducted from August to December 2020. Participants were divided into four groups: non-obese with non-excessive weight gain (n=765, 45.9 %), obese with non-excessive weight gain (n=190, 11.4 %), non-obese with excessive weight gain (n=532, 31.9 %), and obese with excessive weight gain (n=179, 10.7 %). The outcomes were evaluated for gestational diabetes (GDM), pregnancy-induced hypertension (PIH), newborn large for gestational age (LGA) and cesarean delivery. A p-value of <0.05 was considered significant.

Results: The odds of GDM were significant in groups 2 (CR, 3.6; 95 %CI, 2.5-5.2) and 4 (CR,1.9; 95 %CI, 1.3-2.9). The odds of PIH in groups 3 (CR, 1.7; 95 %CI, 1-2.6) and 4 (CR,3.1; 95 %CI, 1.9-5.2) and those of LGA newborns in groups 2 (CR, 2.0; 95 %CI, 1.2-3.3), 3 (CR, 2.6; 95 %CI, 1.9-3.7), and 4 (CR, 3.2; 95 %CI, 2-5) were high.

Conclusions: The odds of GDM were higher in participants with pregestational obesity, while the odds of PIH were higher in participants with excessive weight gain. All groups analyzed, except the reference group, had greater chances of LGA newborns. the form of delivery was not affected.

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来源期刊

Journal of Perinatal Medicine 医学-妇产科学

CiteScore

4.40

自引率

8.30%

发文量

183

审稿时长

4-8 weeks

期刊介绍： The Journal of Perinatal Medicine (JPM) is a truly international forum covering the entire field of perinatal medicine. It is an essential news source for all those obstetricians, neonatologists, perinatologists and allied health professionals who wish to keep abreast of progress in perinatal and related research. Ahead-of-print publishing ensures fastest possible knowledge transfer. The Journal provides statements on themes of topical interest as well as information and different views on controversial topics. It also informs about the academic, organisational and political aims and objectives of the World Association of Perinatal Medicine.