{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T17:12:46Z","timestamp":1722445966645},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Einleitung In \u00d6sterreich hat sich der prozentuelle Anteil der Bev\u00f6lkerung mit Adipositas im Zeitraum von 1999 bis 2014 um 5,2% erh\u00f6ht, wobei der Anteil an adip\u00f6sen Frauen zwischen 15 und 45 Jahren 14,8% betrug. Nachweislich steigt mit einem erh\u00f6hten Body Mass Index (BMI) der Frauen das Risiko f\u00fcr Pathologien und Regelwidrigkeiten w\u00e4hrend Schwangerschaft, Geburt und Wochenbett. In dieser Arbeit wird der Einfluss m\u00fctterlicher Adipositas auf ausgew\u00e4hlte geburtshilfliche Parameter analysiert.<\/jats:p><jats:p>\n          Methodik Der Datensatz umfasst alle Einlingsgeburten zwischen 1.1.2008 und 31.12.2018 mit berechenbarem BMI (n=640\u2009922) aus dem \u00f6sterreichischen Geburtenregister. Der m\u00fctterliche BMI wurde mit den Variablen Alter der Mutter, Parit\u00e4t, Schwangerschaftsdauer, Geburtseinleitung, Geburtsmodus, kindlicher APGAR-Wert, kindlicher Nabelschnur pH-Wert und kindliche Mortalit\u00e4t in Relation gesetzt und mittels deskriptiver Darstellung der H\u00e4ufigkeiten sowie bivariater Analyseverfahren ausgewertet.<\/jats:p><jats:p>\n          Ergebnisse Ein BMI der Frauen \u226530 bewirkt eine erh\u00f6hte Rate an Fr\u00fchgeburten, Geburtseinleitungen, Kaiserschnitten, an neonatalen APGAR-Werten &lt;\u20098 sowie \u22644, niedrigeren Nabelschnur pH-Werten von &lt;7,2 sowie erh\u00f6hten Raten an kindlicher Mortalit\u00e4t. Im Gegensatz dazu findet seltener eine vaginal operative Geburtsbeendigung statt.<\/jats:p><jats:p>\n          Schlussfolgerungen Adipositas hat einen negativen Einfluss auf diverse geburtshilfliche Faktoren. Durch Pr\u00e4vention sollte eine gesunde Lebensweise bereits vor Eintreten der Schwangerschaft gef\u00f6rdert werden.<\/jats:p>","DOI":"10.1055\/a-1327-4619","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T23:45:13Z","timestamp":1611013513000},"page":"267-274","source":"Crossref","is-referenced-by-count":1,"title":["Der Einfluss von m\u00fctterlicher Adipositas auf ausgew\u00e4hlte geburtshilfliche Parameter"],"prefix":"10.1055","volume":"225","author":[{"given":"Barbara","family":"Schildberger","sequence":"additional","affiliation":[{"name":"Studiengang Hebamme, FH Gesundheitsberufe O\u00d6 GmbH, Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Hofer","sequence":"additional","affiliation":[{"name":"Studiengang Hebamme, FH Gesundheitsberufe O\u00d6 GmbH, Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alois","family":"Harrasser","sequence":"additional","affiliation":[{"name":"Geburtenregister, Institut f\u00fcr klinische Epidemiologie der tirol kliniken, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Leitner","sequence":"additional","affiliation":[{"name":"Geburtenregister, Institut f\u00fcr klinische Epidemiologie der tirol kliniken, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"ref5","doi-asserted-by":"publisher","first-page":"276","DOI":"10.3238\/arztebl.2018.0276","article-title":"Risiken bei Adipositas in der Schwangerschaft","volume":"16","author":"J Stubert","year":"2018","journal-title":"Deutsches \u00c4rzteblatt"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/1471-2458-7-168","article-title":"Effect of 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