减肥手术后的母体和胎儿结局。

IF 2.5 Q2 OBSTETRICS & GYNECOLOGY
Przeglad Menopauzalny Pub Date : 2023-09-01 Epub Date: 2023-09-25 DOI:10.5114/pm.2023.131440
Mohamed M Farghali, Fatemah K Alhadhoud, Noura H AlObaidly, Maryam Mohammad, Ibrahim A Abdelazim, Ainur Amanzholkyzy, Zaituna Khamidullina
{"title":"减肥手术后的母体和胎儿结局。","authors":"Mohamed M Farghali,&nbsp;Fatemah K Alhadhoud,&nbsp;Noura H AlObaidly,&nbsp;Maryam Mohammad,&nbsp;Ibrahim A Abdelazim,&nbsp;Ainur Amanzholkyzy,&nbsp;Zaituna Khamidullina","doi":"10.5114/pm.2023.131440","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Obesity is the most common medical problem affecting reproductive-age women. To detect the prevalence of obesity, and bariatric surgeries (BSs) in reproductive-age women, and the impact of obesity vs. BSs on the subsequent pregnancy outcomes.</p><p><strong>Material and methods: </strong>Obese-pregnant women, and women underwent BSs before the current pregnancy, with complete antenatal, and delivery records were included in the current study. Collected data were analyzed using MedCalc 20.106 to calculate the odd ratio (OR), and relative risk (RR) of adverse maternal, and fetal outcomes in relation to maternal obesity vs. BSs.</p><p><strong>Results: </strong>Data of 14,474 pregnant women were collected during this study; 33.94% (4912/14474) of them were obese, and 3.8% (546/14474) of them had previous BSs before the current pregnancy. The obese group has significantly higher odds, and RR of gestational diabetes mellitus (GDM) [OR 1.9 (<i>p</i> = 0.0001), and RR 1.79 (<i>p</i> = 0.0001)], gestational hypertension [OR 1.7 (<i>p</i> = 0.0002), and RR 1.6 (<i>p</i> = 0.0003)], and preeclampsia (PE) [OR 1.7 (<i>p</i> = 0.0001), and RR 1.6 (<i>p</i> = 0.0001)] compared to BSs group. The obese group has also significantly higher odds, and RR of cesarean sections (CSs) [OR 1.3 (<i>p</i> = 0.008), and RR 1.25 (<i>p</i> = 0.01)], and large for gestational age [OR 1.39 (<i>p</i> = 0.01), and RR 1.3 (<i>p</i> = 0.02)] compared to BSs group.</p><p><strong>Conclusions: </strong>About 33.94% of the reproductive-age women in Kuwait are obese, and 3.8% of them had previous BSs. Obese-pregnant women are at increased risks of GDM, gestational hypertension, PE, and CSs. Bariatric surgeries reduced the rates of GDM, gestational hypertension, PE, and CSs significantly.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/75/MR-22-51463.PMC10566334.pdf","citationCount":"0","resultStr":"{\"title\":\"Maternal and fetal outcomes after bariatric surgeries.\",\"authors\":\"Mohamed M Farghali,&nbsp;Fatemah K Alhadhoud,&nbsp;Noura H AlObaidly,&nbsp;Maryam Mohammad,&nbsp;Ibrahim A Abdelazim,&nbsp;Ainur Amanzholkyzy,&nbsp;Zaituna Khamidullina\",\"doi\":\"10.5114/pm.2023.131440\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Obesity is the most common medical problem affecting reproductive-age women. To detect the prevalence of obesity, and bariatric surgeries (BSs) in reproductive-age women, and the impact of obesity vs. BSs on the subsequent pregnancy outcomes.</p><p><strong>Material and methods: </strong>Obese-pregnant women, and women underwent BSs before the current pregnancy, with complete antenatal, and delivery records were included in the current study. Collected data were analyzed using MedCalc 20.106 to calculate the odd ratio (OR), and relative risk (RR) of adverse maternal, and fetal outcomes in relation to maternal obesity vs. BSs.</p><p><strong>Results: </strong>Data of 14,474 pregnant women were collected during this study; 33.94% (4912/14474) of them were obese, and 3.8% (546/14474) of them had previous BSs before the current pregnancy. The obese group has significantly higher odds, and RR of gestational diabetes mellitus (GDM) [OR 1.9 (<i>p</i> = 0.0001), and RR 1.79 (<i>p</i> = 0.0001)], gestational hypertension [OR 1.7 (<i>p</i> = 0.0002), and RR 1.6 (<i>p</i> = 0.0003)], and preeclampsia (PE) [OR 1.7 (<i>p</i> = 0.0001), and RR 1.6 (<i>p</i> = 0.0001)] compared to BSs group. The obese group has also significantly higher odds, and RR of cesarean sections (CSs) [OR 1.3 (<i>p</i> = 0.008), and RR 1.25 (<i>p</i> = 0.01)], and large for gestational age [OR 1.39 (<i>p</i> = 0.01), and RR 1.3 (<i>p</i> = 0.02)] compared to BSs group.</p><p><strong>Conclusions: </strong>About 33.94% of the reproductive-age women in Kuwait are obese, and 3.8% of them had previous BSs. Obese-pregnant women are at increased risks of GDM, gestational hypertension, PE, and CSs. Bariatric surgeries reduced the rates of GDM, gestational hypertension, PE, and CSs significantly.</p>\",\"PeriodicalId\":55643,\"journal\":{\"name\":\"Przeglad Menopauzalny\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/75/MR-22-51463.PMC10566334.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Przeglad Menopauzalny\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5114/pm.2023.131440\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Przeglad Menopauzalny","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/pm.2023.131440","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/25 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

引言:肥胖是影响育龄妇女的最常见的医疗问题。检测育龄妇女肥胖和减肥手术的患病率,以及肥胖与减肥手术对后续妊娠结果的影响。材料和方法:肥胖孕妇和在当前妊娠前接受BSs的妇女,具有完整的产前和分娩记录,包括在当前研究中。使用MedCalc 20.106对收集的数据进行分析,以计算与母体肥胖和BS相关的不良母体和胎儿结局的奇数比(OR)和相对风险(RR)。结果:本研究期间收集了14474名孕妇的数据;其中33.94%(4912/14474)的人肥胖,3.8%(546/14474)的人在当前妊娠前有过BS。与BSs组相比,肥胖组发生妊娠期糖尿病(GDM)[OR 1.9(p=0.0001),RR 1.79(p=0.00.0001)],妊娠期高血压[OR 1.7(p=0.0002),RR 1.6(p=0.00.0003)],先兆子痫(PE)[OR 1.7。与BS组相比,肥胖组的几率和剖宫产RR也显著更高[OR 1.3(p=0.008),RR 1.25(p=0.001)],孕龄大[OR 1.39(p=0.01),RR 1.3(p=0.02)]。结论:科威特约有33.94%的育龄妇女肥胖,其中3.8%曾患过BS。肥胖孕妇患GDM、妊娠期高血压、PE和CS的风险增加。减肥手术显著降低了GDM、妊娠期高血压、PE和CS的发生率。
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 fetal outcomes after bariatric surgeries.

Introduction: Obesity is the most common medical problem affecting reproductive-age women. To detect the prevalence of obesity, and bariatric surgeries (BSs) in reproductive-age women, and the impact of obesity vs. BSs on the subsequent pregnancy outcomes.

Material and methods: Obese-pregnant women, and women underwent BSs before the current pregnancy, with complete antenatal, and delivery records were included in the current study. Collected data were analyzed using MedCalc 20.106 to calculate the odd ratio (OR), and relative risk (RR) of adverse maternal, and fetal outcomes in relation to maternal obesity vs. BSs.

Results: Data of 14,474 pregnant women were collected during this study; 33.94% (4912/14474) of them were obese, and 3.8% (546/14474) of them had previous BSs before the current pregnancy. The obese group has significantly higher odds, and RR of gestational diabetes mellitus (GDM) [OR 1.9 (p = 0.0001), and RR 1.79 (p = 0.0001)], gestational hypertension [OR 1.7 (p = 0.0002), and RR 1.6 (p = 0.0003)], and preeclampsia (PE) [OR 1.7 (p = 0.0001), and RR 1.6 (p = 0.0001)] compared to BSs group. The obese group has also significantly higher odds, and RR of cesarean sections (CSs) [OR 1.3 (p = 0.008), and RR 1.25 (p = 0.01)], and large for gestational age [OR 1.39 (p = 0.01), and RR 1.3 (p = 0.02)] compared to BSs group.

Conclusions: About 33.94% of the reproductive-age women in Kuwait are obese, and 3.8% of them had previous BSs. Obese-pregnant women are at increased risks of GDM, gestational hypertension, PE, and CSs. Bariatric surgeries reduced the rates of GDM, gestational hypertension, PE, and CSs significantly.

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
Przeglad Menopauzalny
Przeglad Menopauzalny OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
11.10%
发文量
32
审稿时长
6-12 weeks
期刊介绍: Menopausal Review is a scientific bimonthly aimed at gynecologists and endocrinologists.
×
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