Abstract:Objective To comparative delivery mode and perinatal outcomes in obese women compared with those with normal weight. Methods A cross sectional survey of all deliveries in Beijing Obstetrics and Gynecology Hospital from January 1 to December 31, 2011 was evaluated for demographic data and delivery outcomes. Results In this analysis of 12 190 pregnancies, 2263 (18.6%) were complicated by obesity. Compared with those with normal weight and overweight, the risks of hypertension disorder complicating pregnancy, gestational diabetes mellitus, malpresentation,and macrosomia increased significantly in obese women.The cesarean section rate was higher significantly in obese women than in women with normal weight and overweight, especially performed for maternal request, failure for progress, macrosomia, previous surgery (P<0.05). Conclusions The perinatal complications are significantly higher in obese women than in those with normal weight.
侯 磊,王 欣,邹丽颖,任明保,张为远. 肥胖对妊娠结局及分娩方式的影响[J]. 武警医学, 2016, 27(6): 571-573.
HOU Lei, WANG Xin, ZOU Liying, REN Mingbao, and ZHANG Weiyuan. Influence of obeseity on pregnancy outcome and mode of delivery in paerperants. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(6): 571-573.
Van Der Linden E L, Browne J L, Vissers K M, et al. Maternal body mass index and adverse pregnancy outcomes: a ghanaian cohort study[J]. Obesity, 2016,24(1):215-222.
[2]
Ding X X, Xu S J, Hao J H, et al. Maternal pre-pregnancy BMI and adverse pregnancy outcomes among Chinese women: results from the C-ABCS [J]. J Obstet Gynaecol,2015,22:1-5.
[3]
Owens L A,Sullivan E P, Kirwan B,et al.ATLANTIC DIP:the impact of obesity on pregnancy outcome in glucose tolerant women[J]. Diabetes Care, 2010,33(3):577-579.
[4]
Farah N, Maher N, Barry S, et al. Maternal morbid obesity and obstetric outcomes [J]. Obes Facts, 2009, 2(6): 352-354.
[5]
HAPO Study Cooperative Research Group. Hyperglycaemia and adverse pregnancy outcome (HAPO) study:associations with maternal body mass index[J].BJOG,2010, 117(5):575-584.
[6]
Minsart A F,Buekens P, De Spiegelaere M,et al.Neonatal outcomes in obese mothers:a population based analysis[J]. BMC Pregnancy Childbirth,2013,11(13):36.
[7]
Chung J H,Melsop K A,Gilbert W M,et al. Increasing pre-pregnancy body mass index is predictive of a progressive escalation in adverse pregnancy outcomes[J].J Maternal Fetal Neonatal Med, 2012, 25(9):1635-1639.
[8]
Lynch C M, Sexton D J, Hession M, Obesity and mode of delivery in primigravid and multigravid women [J]. Am J Perinatol, 2008,25(3):163-167.
[9]
Gaillard R. Maternal obesity during pregnancy and cardiovascular development and disease in the offspring [J]. Eur J Epidemiol, 2015, 30(11):1141-1152.