PDF(Pubmed)
Abstract：
The increasing obesity rates among women of reproductive age create a major obstetrical problem as obesity during pregnancy is associated with many complications, such as a higher rate of caesarean sections. This medical record-based study investigates the effects of maternal prepregnancy obesity on newborn parameters, birth mode, and miscarriage rate. The data of 15,404 singleton births that had taken place between 2009 and 2019 at the public Danube Hospital in Vienna were enrolled in the study. Newborn parameters are birth weight, birth length, head circumference, APGAR scores, as well as pH values of the arterial and venous umbilical cord blood. In addition, maternal age, height, body weight at the beginning and the end of pregnancy, and prepregnancy body mass index (BMI) (kg/m2) have been documented. The gestational week of birth, the mode of delivery, as well as the number of previous pregnancies and births, are included in the analyses. Birth length, birth weight, and head circumference of the newborn increase with increasing maternal BMI. Furthermore, with increasing maternal weight class, there tends to be a decrease in the pH value of the umbilical cord blood. Additionally, obese women have a history of more miscarriages, a higher rate of preterm birth, and a higher rate of emergency caesarean section than their normal-weight counterparts. Consequently, maternal obesity before and during pregnancy has far-reaching consequences for the mother, the child, and thus for the health care system.
摘要：
育龄妇女肥胖率的增加造成了一个主要的产科问题，因为怀孕期间的肥胖与许多并发症有关。如剖腹产率较高。这项基于病历的研究调查了孕前肥胖对新生儿参数的影响，出生模式,流产率。该研究纳入了2009年至2019年在维也纳多瑙河公立医院发生的15404例单胎分娩的数据。新生儿参数是出生体重，出生长度,头围,APGAR分数,以及动脉和静脉脐带血的pH值。此外,产妇年龄,高度,怀孕开始和结束时的体重，和孕前体重指数（BMI）（kg/m2）已被记录。出生的孕周，交付方式，以及以前怀孕和分娩的数量，包括在分析中。出生长度,出生体重,新生儿头围随着孕妇BMI的增加而增加。此外，随着产妇体重等级的增加，脐带血的pH值趋于下降。此外,肥胖女性有更多的流产史，更高的早产率，紧急剖腹产率高于正常体重的剖腹产率。因此,怀孕前和怀孕期间的母亲肥胖对母亲有深远的影响，孩子,因此，对于医疗保健系统来说。
