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雑誌文献

臨床婦人科産科76巻9号

2022年09月発行

文献概要

今月の臨床 胎児発育のすべて―FGRから巨大児まで 原因からみた胎児発育の異常

巨大児の原因・機序とその予後

著者: 室本仁1 杉林里佳1 小澤克典1 和田誠司1

所属機関: 1国立成育医療研究センター胎児診療科

ページ範囲:P.882 - P.886

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●巨大児が疑われた場合,推定体重の値は必ずしも正確ではなく,リスク因子の有無や吸引・鉗子分娩の有無が肩甲難産の発症に深く関係している.

●妊娠糖尿病妊婦において肥満,空腹時高血糖,高脂血症がそれぞれ独立した巨大児発症のリスク因子である.

●巨大児(もしくはLGA)の妊娠出産は母児に悪影響を与える可能性がある.

参考文献

1)Catalano PM, et al : Is it time to revisit the Pedersen hypothesis in the face of the obesity epidemic? Am J Obstet Gynecol 204 : 479-487, 2011
2)Kalter-Leibovici O, et al : Screening and Diagnosis of gestational diabetes mellitus : critical appraisal of the new International Association of Diabetes in Pregnancy Study Group recommendations on a national level. Diabetes Care 35 : 1894-1896, 2012
3)Knopp RH, et al : Prediction of infant birth weight by GDM screening test. Importance of plasma triglycerides. Diabetes Care 15 : 1605-1613, 1992
4)Yamashita H, et al : Factors associated with patients with gestational diabetes in Japan being at increased risk of requiring intensive care. Int J Gynaecol Obstet 140 : 170-174, 2018
5)Wei J, et al : Effects of low glycemic index diets on gestational diabetes mellitus : a meta-analysis of randomized controlled clinical trials. Medicine(Baltimore) 95 : e3792, 2016
6)Yamamoto JM, et al : Gestational diabetes mellitus and diet : a systematic review and meta-analysis of randomized controlled trials examining the impact of modified dietary interventions on maternal glucose control and neonatal birth weight. Diabetes Care 41 : 1346-1361, 2018
7)Davenport MH, et al : Impact of prenatal exercise on neonatal and childhood outcomes : a systematic review and meta-analysis. Br J Sports Med 52 : 1386-1396, 2018
8)Berntsen S, et al : Large for gestational age and macrosomia in singletons born after frozen/thawed embryo transfer(FET)in assisted reproductive technology(ART). Birth Defects Res 110 : 630-643, 2018
9)Chauhan SP, et al : Suspicion and treatment of the macrosomic fetus : a review. Am J Obstet Gynecol 193 : 332-346, 2005
10)Scifres CM : Short- and long-term outcomes associated with large for gestational age birth weight. Obstet Gynecol Clin North Am 48 : 325-337, 2021
11)Neylon OM, et al : Overgrowth syndromes. Curr Opin Pediatr 24 : 505-511, 2012
12)Nesbitt TS, et al : Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am J Obstet Gynecol 179 : 476-480, 1998

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

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