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American Journal of Perinatology: Issue 09/2024 is online! 2024-07-11


Issue 09

July 2024

OPEN ACCESS

Addicott et al.

Adverse Perinatal Outcomes Associated with Increasing Maternal Obesity

目的:本研究旨在确定与母亲孕前体重指数 (BMI) 相关的不良围产期结局。

研究设计:这是一项在单个机构进行的回顾性观察队列研究,研究对象为 500 名连续的体重正常(孕前 BMI 为 18.5 至小于 25)的母亲和 500 名孕前 BMI 大于或等于 30 的肥胖母亲。根据母亲孕前 BMI 对母亲/新生儿指标进行分层,并通过简单的单变量和多变量逻辑回归分析进行趋势分析。

结果:这项研究纳入了 858 对母婴组合,其中 142 对被排除。趋势分析表明,孕前 BMI 越高,剖宫产率 (p < 0.001)、先兆子痫 (p < 0.001)、妊娠期糖尿病 (p < 0.001)、早产 (p = 0.001)、1 分钟和 5 分钟 Apgar 评分越低 (p < 0.001) 以及新生儿重症监护室入院率 (p = 0.002) 越高。这些关联在简单单变量和多变量逻辑回归模型中仍然显著。

结论:我们证明,与体重正常的母亲相比,肥胖女性更容易出现产妇并发症和新生儿发病率。随着肥胖程度的增加,产妇和胎儿并发症也会增加,与其他类型的肥胖相比,超肥胖母亲(BMI ≥ 50)的围产期不良结局更多。建议 BMI 大于或等于 30 的女性在怀孕前减肥是合理的,以减少与怀孕相关的产妇并发症和新生儿发病率。

要点:

  • 母亲肥胖与不良后果相关。

  • 并发症随肥胖增加而增加。

  • 超级肥胖母亲的不良后果最为严重。

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SMFM Fellowship Series Article

Wang, Tiffany L.; Bryan, Samantha G.; Jeyabalan, Arundhathi; Facco, Francesca L.; Gandley, Robin E.; Hubel, Carl A.; Catov, Janet M.; Hauspurg, Alisse K.:

Sleep Quality in Individuals with and without Persistent Postpartum Hypertension

Horgan, Rebecca; Nehme, Lea; Jensen, Hannah J.; Shah, Anika P.; Saal, Ryan; Onishi, Kazuma; Kawakita, Tetsuya; Martins, Juliana G.; Abuhamad, Alfred:

Neonatal Outcomes among Fetuses with an Abdominal Circumference <3rd %ile and Estimated Fetal Weight 3rd to 9th %ile Compared to Fetuses with an EFW <3rd %ile

Review Article

Shen, Yunchuan; Yuan, Yuan; Dong, Wenbin:

The Mechanism of Hyperoxia-Induced Neonatal Renal Injury and the Possible Protective Effect of Resveratrol

Edwards, Sara; Angarita, Ana M.; Talasila, Sahithi; Berghella, Vincenzo:

Waterbirth: A Systematic Review and Meta-Analysis

Original Article

Kancherla, Vijaya; Tandaki, Lucita; Sundar, Manasvi; Lux, Anke; Bakker, Marian K; Bergman, Jorieke EH; Bermejo-Sánchez, Eva; Canfield, Mark A; Feldkamp, Marcia L; Groisman, Boris; Hurtado-Villa, Paula; Källén, Karin; Landau, Danielle; Lelong, Nathalie; Lopez-Camelo, Jorge; Mastroiacovo, Pierpaolo; Morgan, Margery; Mutchinick, Osvaldo M; Nance, Amy E; Nembhard, Wendy N; Pierini, Anna; Šípek, Antonin; Stallings, Erin B; Szabova, Elena; Wertelecki, Wladimir; Zarante, Ignacio; Rissmann, Anke:

A Multicountry Analysis of Prevalence and Mortality among Neonates and Children with Bladder Exstrophy

Pavlyshyn, Нalyna; Sarapuk, Iryna; Saturska, Uliana:

Maternal Stress Experience in the Neonatal Intensive Care Unit after Preterm Delivery

Kumar, Gunjana; Goel, Srishti; Nangia, Sushma; Ramaswamy, Viraraghavan Vadakkencherry:

Outcomes of Nonvigorous Neonates Born through Meconium-Stained Amniotic Fluid after a Practice Change to No Routine Endotracheal Suctioning from a Developing Country

McBride, Elizabeth B.; Lasarev, Michael R.; O'Connell, Daniel M.; Limjoco, Jamie J.:

Clinical Outcomes of Neonatal Intensive Care Unit Graduates with Bridled Nasogastric Feeding Tubes

Kassir, Elias; Holliman, Kerry; Negi, Masaru; Duong, Hai-Lang; Tandel, Megha D.; Kwan, Lorna; Lee, Gwendolyn; Silverman, Neil S.; Rao, Rashmi R.; Han, Christina S.:

Risk Factors for Measles Nonimmunity in Rubella-Immune Pregnant Patients

Swissa, Shani S.; Walfisch, Asnat; Yaniv-Salem, Shimrit; Pariente, Gali; Hershkovitz, Reli; Szaingurten-Solodkin, Irit; Shashar, Sagi; Beharier, Ofer:

Maternal Blood Angiogenic Factors and the Prediction of Critical Adverse Perinatal Outcomes Among Small-for-Gestational-Age Pregnancies

Tepe, Tugay; Satar, Mehmet; Yildizdas, Hacer Yapicioglu; Ozdemir, Mustafa; Ozlu, Ferda; Erdogan, Seyda; Toyran, Tugba; Akillioglu, Kubra:

Antiapoptotic Effects of Hydroxychloroquine on Hypoxic–Ischemic Injury in Neonatal Rat Brain: May Hydroxychloroquine Be an Adjuvant Theraphy?

Akbar, Muhammad Ilham Aldika; Azis, Muhammad Alamsyah; Riu, Deviana Soraya; Wawengkang, Ellen; Ernawati, Ernawati; Bachnas, Muhammad Adrianes; Sulistyowati, Sri; Dachlan, Erry Gumilar; Mose, Johanes Cornelius; Dekker, Gus:

INOVASIA Study: A Multicenter Randomized Clinical Trial of Pravastatin to Prevent Preeclampsia in High-Risk Patients

Gray, Keyaria D.; Saha, Shampa; Battarbee, Ashley N.; Cotten, Charles Michael; Boghossian, Nansi S.; Walsh, Michele C.; Greenberg, Rachel G.; for the Eunice Kennedy Shriver National Institute of Child Health Human Development Neonatal Research Network:

Outcomes of Moderately Preterm Infants of Insulin-Dependent Diabetic Mothers

Pasko, Daniel N.; McGee, Paula; Grobman, William A.; Bailit, Jennifer L.; Reddy, Uma M.; Wapner, Ronald J.; Varner, Michael W.; Thorp, John M.; Caritis, Steve N.; Prasad, Mona; Saade, George R.; Sorokin, Yoram; Rouse, Dwight J.; Tolosa, Jorge E.; for the Eunice Kennedy Shriver National Institute of Child Health Human Development Maternal-Fetal Medicine Units (MFMU) Network:

Comparison of Cesarean Deliveries in a Multicenter U.S. Cohort Using the 10-Group Classification System

Tosson, Angie M. S.; Koptan, Dina M. T.; Kamal, Mohamed; Abd Elhady, Marwa:

Assessment of Serum Interleukin-27 and Mean Platelet Volume in Late-Onset Neonatal Sepsis

Costa, Sara Todo Bom; Costa, Paula; Graça, André Mendes; Abrantes, Margarida; Portuguese National Registry of very low birth weight infants:

Delivery Mode and Neurological Complications in Very Low Birth Weight Infants

Benenson, Shmuel; Cohen, Matan J.; Greenglick, Nofar; Schwartz, Carmela; Eventov-Friedman, Smadar; Ergaz, Zivanit:

The Validity of Positive Coagulase-Negative Staphylococcus Cultures for the Diagnosis of Sepsis in the Neonatal Unit

Bujold, Laurence; Audibert, François; Chaillet, Nils:

Impact of Gestational Weight Gain Recommendations for Obese Women on Neonatal Morbidity

Shanks, Vanessa; Guillen, Ursula; Mackley, Amy; Sturtz, Wendy:

Characterization of Spirituality in Parents of Very Preterm Infants in a Neonatal Intensive Care Unit

Goetz, Elizabeth M.; Tomlin, Brandon D.; Rinaldo, Kathryn E.; Baumann-Blackmore, Nicole L.; Petro, Rachel L.; Smith, Beth B.; Zapata, Jasmine Y.; Lasarev, Michael R.; McBride, Elizabeth B.; Kaluarachchi, Dinushan C.:

Oxygen Saturation Profiles in Healthy Term Infants in Early Postnatal Life

Addicott, Katherine; Nudelman, Matthew; Putty, Krista; Prasher, Priya; Preston, Deborah; Yoost, Jennie L; DeFruscio, Annie; Bartlett, David; Cavender, Catherine; Carter, Meagen; Datz, Hannah; Rodriquez, Kayla; Werthammer, Joseph:

Adverse Perinatal Outcomes Associated with Increasing Maternal Obesity

Commentary

Stevenson, David K.; Gotlib, Ian H.; Buthmann, Jessica L.; Marié, Ivana; Aghaeepour, Nima; Gaudilliere, Brice; Angst, Martin S.; Darmstadt, Gary L.; Druzin, Maurice L.; Wong, Ronald J.; Shaw, Gary M.; Katz, Michael:

Stress and Its Consequences—Biological Strain

American Journal of Perinatology为同行评审国际期刊,每年出版14期,内容涉及原创研究和专题综述。它是产科学、新生儿科学、围产科学和母胎医学专家的权威论坛,侧重于衔接不同领域。

本刊主要关注临床和转化研究,诊断、监测和治疗方面的临床和技术进展以及循证评述。热门主题包括孕产妇、胎儿和新生儿疾病的流行病学及诊断、预防和管理。出版的稿件涉及新技术、新生儿重症监护病房 (NICU) 设置和护理等主题,以期对该领域的重要问题进行广泛的探讨。

所有论文均通过在线提交,经过严格的同行评审,稿件处理速度快,可同时提供电子版。AJP Reports是American Journal of Perinatology的姊妹期刊,为新生儿和母胎医学病例报告的开放获取期刊。