肥胖与妊娠期并发症的关系

Relationship Between Obesity and Pregnancy Complications

在孕产妇中,超重和肥胖与妊娠期高血压疾病、妊娠期糖尿病、巨大儿、剖宫产率上升、血栓性疾病相关。妊娠前身高、体质量及妊娠期体质量增加是较重要的影响因素。妊娠肥胖者逐年增多,不良产科结局随之增加,对其子代发生畸形、肥胖、2型糖尿病等成年后疾病具有明显影响。综述肥胖与各种妊娠期并发症及产科结局的关系,提示妊娠期体质量控制检测、妊娠期并发症筛查等将利于提高妊娠期妇女的保健质量,改善母婴预后。对肥胖妊娠妇女应加强围生期监护及产后随访。

The overweight and obesity are related with pregnancy induced hypertension,gestational diabetes mellitus,fetal macrosomia,cesarean section rate increased and thrombotic disease in pregnant women.Pre-pregnancy height,body mass and the increase of body weight during pregnancy are more important factors.Pregnancy obesity is increased year by year,with the adverse obstetric outcomes increasing,which has the significant effect on the occurrence of abnormal offspring,obesity,type 2 diabetes and other adult diseases.Summary of obesity with a variety of pregnancy complications and obstetric outcome relationship,suggests that control of body weight during pregnancy,screening pregnancy complications will help improve the quality of care during pregnancy,improving maternal and child outcomes for obese pregnant women to strengthen perinatal care and postpartum follow-up.