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首页> 外文期刊>Surgical Endoscopy >The surgical management of obesity in young women: consideration of the mother's and baby's health before, during, and after pregnancy.
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The surgical management of obesity in young women: consideration of the mother's and baby's health before, during, and after pregnancy.

机译：年轻女性肥胖症的外科治疗：在怀孕之前，期间和之后考虑母亲和婴儿的健康状况。

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BACKGROUND: Maternal obesity has a substantial associated morbidity and mortality affecting both mother and child. This has a major impact on provision of care due to increased requirements for both medical and surgical management of the consequences that follow obesity in pregnancy. METHODS: A review examined the English language literature on Medline databases describing the effect of obesity on pregnancy and outcomes of pregnancy after bariatric surgery. Guidelines from the National Institute for Clinical Excellence yielded information on selection criteria for fertility treatment and bariatric surgery. The World Health Organization definitions of overweight and obesity were adhered to throughout this review. RESULTS: The level of clinical and morbid obesity has shown a dramatic increase in women of childbearing age, with far-reaching consequences for both their own health and that of their offspring. Obese women require a substantial amount of additional clinical care beyond that offered to women of normal weight due to the wide range of medical and obstetric complications they experience. Recent evidence suggests that obesity may be implicated in approximately one-third of maternal deaths. The consensus of the literature is that the best way to reduce obesity-associated morbidity is by weight reduction before pregnancy. Where behavioral and medical interventions fail, the most successful method is bariatric surgery. The effect of surgery on the outcome of subsequent pregnancies indicate improved chances of normal pregnancy, delivery, and healthy babies. CONCLUSIONS: Bariatric surgery is a safe and effective method of weight loss for morbidly obese women of childbearing age, with favorable outcomes for pregnancies after surgery.
机译：背景：孕妇肥胖与母亲和儿童的发病率和死亡率都有很大的关联。由于对肥胖引起的后果的医疗和手术管理需求增加，这对护理的提供产生了重大影响。方法：一篇评论检查了Medline数据库上的英语文献，这些文献描述了肥胖对妊娠和减肥手术后妊娠结局的影响。国家临床卓越研究所的指南提供了有关生育治疗和减肥手术选择标准的信息。在整个审查过程中，都遵循了世界卫生组织对超重和肥胖的定义。结果：育龄妇女的临床肥胖和病态肥胖水平显着增加，对她们自身及其后代的健康产生深远的影响。肥胖妇女由于其所经历的广泛的医疗和产科并发症，需要为正常体重的妇女提供大量的额外临床护理。最近的证据表明，肥胖可能与大约三分之一的孕产妇死亡有关。文献的共识是，减少肥胖相关疾病的最好方法是在怀孕前减轻体重。在行为和医学干预失败的地方，最成功的方法是减肥手术。手术对随后妊娠结局的影响表明正常妊娠，分娩和健康婴儿的机会增加。结论：减肥手术是一种安全有效的减肥方法，适用于育龄的病态肥胖妇女，术后妊娠效果良好。

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