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生育年龄推迟是全球性问题。高龄孕妇可以导致孕期超重/肥胖、妊娠期糖尿病、妊娠高血压/子痫前期、产前出血、胎盘植入、胎膜早破、早产、死胎、胎先露异常、头盆不称、产力异常、剖宫产、产后出血、胎儿宫内窘迫、死产、低出生体重、小于胎龄儿、大于胎龄儿、出生窒息、围产儿死亡、孕产妇围产期发病/围产期死亡等多重不良妊娠结局。同时,高龄孕妇的不良妊娠结局与母亲和子代远期的高血压、2型糖尿病、代谢综合征、动脉粥样硬化、青少年肥胖等心血管代谢风险密切相关。因此,有必要加强高龄孕妇的围产期保健和产后远期的心血管代谢风险防范。
Postponing childbearing age is a global problem. Elderly pregnant women can lead to overweight / obesity during pregnancy, gestational diabetes mellitus, gestational hypertension / preeclampsia, prenatal bleeding, placenta previa, premature rupture of membranes, premature delivery, stillbirth, abnormal fetal birth, Abortion, Cesarean section, Postpartum hemorrhage, Fetal distress, Stillbirth, Low birth weight, Small gestational age, Greater than gestational age, Birth asphyxia, Perinatal mortality, Perinatal morbidity / Perinatal mortality, etc. Multiple adverse pregnancy outcomes. At the same time, adverse pregnancy outcomes in advanced pregnant women are closely related to cardiovascular risk of hypertension, type 2 diabetes mellitus, metabolic syndrome, atherosclerosis and adolescent obesity in the mother and offspring. Therefore, it is necessary to strengthen the perinatal care of pregnant women in advanced age and postpartum long-term prevention of cardiovascular risk.