Orvosi hetilap · 2009
[The metabolic syndrome and the risks of unfavourable outcome of pregnancy].
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Horváth Boldizsár, Kovács Lajos, Riba Mária, Farkas György, Bödecs Tamás, Bódis József
Аннотация
UNLABELLED: The metabolic syndrome is defined by abdominal obesity, elevation of blood pressure, fasting glucose and triglycerides and low levels of high-density lipoprotein cholesterol. The metabolic syndrome may play an important role in the pathogenesis of unsuccessful pregnancy, by including a pro-inflammatory and prothrombotic state. Some authors have suggested that in case of metabolic syndrome the LMW heparin therapy given from the time of conception has a favourable effect. The aim of our study was to elucidate the association of the metabolic syndrome with the risk of unsuccessful pregnancy.
DESIGN AND METHODS: During the study period 2005-2008 (4 years) we followed 5869 pregnancies. Retrospectively, 172 (2.9%) patients met the criteria of metabolic syndrome at the time of the first trimester.
RESULTS: The rate of premature birth was 15.1% [26/172 in the metabolic syndrome group vs. 11.7%; OR: 1.52 (95% CI: 0.996-2.33) p=0.051], in control group. Within the affected group 32 pregnancies were complicated with intrauterine grow retardation (18.6%); versus 3.6%, in the unaffected group; OR: 6.38 (95% CI: 4.24-9.61 p<0.001). In 47 cases we observed preeclampsia during pregnancy [27.3%; vs. 4.7%; OR: 7.93 (95% CI: 5.54-11.33) p<0.001] in the control group. Among the patients affected by the metabolic syndrome 67 patients (38.2%) had more then one pregnancy complications during pregnancy, and only 47 cases (27.3%) were lacking adverse events during pregnancy and delivery [OR: 3.11 (2.27-4.26) p<0.001].
CONCLUSIONS: Our study demonstrated higher rate of complicated pregnancies in association with metabolic syndrome compared to the control group. In addition, we started a prospective study in 2007, using LMWH therapy to prevent thromboplastic and atherosclerotic effects of the metabolic syndrome. The study is planned to be reported in 2010 to assess the effect of LMWH therapy on the outcome of pregnancies.
DESIGN AND METHODS: During the study period 2005-2008 (4 years) we followed 5869 pregnancies. Retrospectively, 172 (2.9%) patients met the criteria of metabolic syndrome at the time of the first trimester.
RESULTS: The rate of premature birth was 15.1% [26/172 in the metabolic syndrome group vs. 11.7%; OR: 1.52 (95% CI: 0.996-2.33) p=0.051], in control group. Within the affected group 32 pregnancies were complicated with intrauterine grow retardation (18.6%); versus 3.6%, in the unaffected group; OR: 6.38 (95% CI: 4.24-9.61 p<0.001). In 47 cases we observed preeclampsia during pregnancy [27.3%; vs. 4.7%; OR: 7.93 (95% CI: 5.54-11.33) p<0.001] in the control group. Among the patients affected by the metabolic syndrome 67 patients (38.2%) had more then one pregnancy complications during pregnancy, and only 47 cases (27.3%) were lacking adverse events during pregnancy and delivery [OR: 3.11 (2.27-4.26) p<0.001].
CONCLUSIONS: Our study demonstrated higher rate of complicated pregnancies in association with metabolic syndrome compared to the control group. In addition, we started a prospective study in 2007, using LMWH therapy to prevent thromboplastic and atherosclerotic effects of the metabolic syndrome. The study is planned to be reported in 2010 to assess the effect of LMWH therapy on the outcome of pregnancies.