孕前BMI≥35的患者应该进行产前检查吗?

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Journal of Family Practice Pub Date : 2023-03-01 DOI:10.12788/jfp.0560

Lee Dresang, Lia Vellardita

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引用次数: 0

摘要

可能。BMI升高与死产风险增加相关(推荐强度[SOR]， B;队列研究和队列研究的荟萃分析)。三项研究发现BMI升高和死胎之间存在关联，另一项则没有。然而，没有研究表明，对bmi较高的孕妇进行产前检测可以降低死产率，也没有研究表明，不必要的检测或由此产生的干预不会造成伤害。

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Should antenatal testing be performed in patients with a pre-pregnancy BMI ≥ 35?

Possibly. Elevated BMI is associated with an increased risk for stillbirth (strength of recommendation [SOR], B; cohort studies and meta-analysis of cohort studies). Three studies found an association between elevated BMI and stillbirth and one did not. However, no studies demonstrate that antenatal testing in pregnant people with higher BMIs decreases stillbirth rates, or that no harm is caused by unnecessary testing or resultant interventions.

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来源期刊

Journal of Family Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL

CiteScore

0.50

自引率

0.00%

发文量

130

审稿时长

6-12 weeks

期刊介绍： JFP is a peer-reviewed medical journal specifically intended to meet the needs of the specialty of family medicine. JFP is delivered to more than 95,000 family physicians as well as general practitioners and osteopaths in primary care.