译文
巨大儿有什么大不了的?
我不想说谎。当我第一次做妈妈的时候,我担心会生下一个巨婴。
我无法想象生下个巨大儿会是怎样的。尽管我当时体重超重以及患有妊娠糖尿病,我的两个孩子出生时的体重只比平均的7.5磅轻点。我女儿重6磅10盎司,38周自然分娩。儿子重7磅4盎司,超过预产期数天自然分娩。许多人认为我会生下巨大儿,然而我努力控制血糖水平,怀孕期体重只是增加了一点而已。我尽力去维持孕期健康,同时我的产科医生让我放心,我的宝宝正以健康均衡的水平成长。
然而我不想说谎。当我第一次做妈妈的时候,我担心会生下一个巨婴。
以往人们认为生个带卷发,酒窝以及忍不住想捏的嫩嫩小脸蛋的胖小孩是件好事,视之为健康宝宝的体现,但现在我们正了解到更多与巨大新生儿有关,而带给母婴各种健康和医疗的风险。即使我的孩子们在健康长大,这种想法也很大程度左右我对孩子的想法,就是觉得他们太小了。
今年我们看到很多有关巨婴降生的报道。今年夏天就有数宗13磅巨婴的降生,以及一个14磅重的犹他州宝宝的报道(可能是2013年美国最大的新生儿了)。而且别忘了二月份自然分娩了一个体重达15磅7盎司宝宝的英国妇女。
所以这又有什么关系呢?为什么我们会如此迷恋这些跳动的喜悦?
出生体重超过14磅的宝宝还是很少的。然而,根据NBC新闻网所引述的医学杂志《柳叶刀》称,在过去的二三十年中,出生体重超过8磅13盎司的宝宝数增长了百分之Darcy Zalewski到二十五。专家也发现在发展中国家巨大儿出生的数量也有所增长。这无疑尤其对宝宝将来的健康和生存是引起关注的问题(尤其在发展中国家)。
有很多因素影响婴儿出生体重,其中一个与孕期母亲肥胖有关系。体重过重以及怀孕的女性通常都有患上妊娠糖尿病,以及非孕期也会有糖尿病的更高风险。我头次怀孕时,产科医生就确信我得了未经诊断的二型糖尿病,因为早在我觉得一切正常的时候我已经有妊娠糖尿病了。虽然这不是我的情况,但未被发现的糖尿病可能是导致生出巨大儿的原因,尽管我们也在探寻还有什么别的原因促使巨婴数的增长。
原文链接:www.babyzone.com/newborn/whats-the-big-deal-about-big-babies_12908848
I'm not going to lie. As a first-time mom, I was concerned about the possibility of having a large baby.
I can’t even imagine what it’s like to have huge babies. Despite being overweight and having gestational diabetes, both of my kids were born a little below the average of 7.5 pounds. My daughter weighed 6 pounds 10 ounces, born naturally at 38 weeks, and my son weighed 7 pounds 4 ounces, born naturally a couple days past his due date. A lot of people assumed I would have large babies, but I managed my blood sugar levels and gained very little pregnancy weight. I did my best to maintain healthy pregnancies and was assured by my OB that my babies were growing at healthy, average rates.
But I’m not going to lie. As a first-time mom, I was concerned about the possibility of having a large baby.
Having large babies with rolls, dimples and irresistibly pinchable squishy cheeks used to be seen as a good thing. People used to think it was a sign of a healthy baby, but now we are learning more about the various health and medical risks for mom and baby associated with macrosomic newborns. This line of thinking is probably why I get questioned about how small my children are even though they are healthy and growing.
We’ve seen a lot of big baby news coverage this year. There were several 13 pound babies born this summer and a 14 pound Utah baby may be the largest in the US for 2013. And let’s not forget the British woman who gave birth vaginally to a 15 pound 7 ounce baby in February.
15 pounds? Can you imagine?
So what is the big deal? Why are we so obsessed with these bouncing bundles of joy?
Babies weighing more than 14 pounds at birth are still rare. However, babies weighing more than 8 pounds 13 ounces at birth have increased 15 to 25 percent in the past two to three decades according to the medical journal The Lancet as cited by NBC News. Experts are also seeing an increase in large babies in developing countries. It’s definitely a cause for concern, especially for baby’s future health and mortality (especially in developing countries).
There are many factors that contribute to baby’s birth weight, and one is linked to obesity in expectant mothers. Overweight and expectant mothers are also at a higher risk for gestational diabetes and developing diabetes outside of pregnancy. The OB for my first pregnancy was convinced that I was an undiagnosed Type 2 diabetic because I developed gestational diabetes earlier than what was considered normal. This wasn’t the case for me, but undetected diabetes may be the cause for some larger babies.
Though we have to wonder what else is contributing to this increase?
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