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Gbesity, pregnancy outcomes and caesarean section: a structured review of the combined literature

机译：肥胖，妊娠结局和剖腹产：对合并文献的结构性综述

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摘要

Objective: This literature review set out to explore the impact of obesity on pregnancy outcomes in relation to an increased rate of caesarean section (CS). Methods: A systematic search strategy, utilising the Patient/Problem, Intervention, Comparison and Outcome (PICO) methodology was used. Two electronic databases, CINAHL and Medline, were searched to source relevant papers published between the years 2000 and 2011 .The search identified 170 papers from CINAHL and 137 papers from Medline using the following inclusion criteria:'written in English'and'published between 2000 and 2011 '.This led to the identification of four papers that met inclusion criteria and were the most relevant to the research question.Findings: There is evidence of an association between elevated body mass index (BMI) levels and the subsequent risk of CS. As the BMI of the woman increases from obese to morbidly obese, the likelihood of CS as an emergency procedure becomes greater. This finding was recorded in all four of the studies reviewed where higher rates of CS were found in overweight women. A 27.8% CS rate was found among obese women, compared to 10.8% among non-obese women (OR 3.2; [95% Cl 2.9,3.5]; P<0.001).Implications: The appropriate management of the reduction in obesity levels among pregnant women is an important factor that can contribute to reduced CS.
机译：目的：这篇文献综述旨在探讨肥胖对剖宫产（CS）率升高与妊娠结局的影响。方法：利用患者/问题，干预，比较和结果（PICO）方法的系统搜索策略。检索了两个电子数据库CINAHL和Medline，以检索2000年至2011年之间发表的相关论文。检索使用以下纳入标准确定了CINAHL的170篇论文和Medline的137篇论文：和2011年。这导致鉴定出符合入选标准且与研究问题最相关的四篇论文。研究发现：有证据表明，体重指数（BMI）水平升高与随后的CS风险之间存在关联。随着女性的BMI从肥胖增加到病态肥胖，CS作为紧急手术的可能性变得更大。在审查的所有四项研究中均记录了这一发现，其中超重女性的CS发生率更高。肥胖女性的CS率为27.8％，而非肥胖女性为10.8％（OR 3.2; [95％Cl 2.9,3.5]; P <0.001）。孕妇是可以降低CS的重要因素。

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