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金子环, 马树祥, 董丽宏, 李雪芹, 朱洁茹, 张海艳. 孕前体质指数及孕期增重与母婴预后关系[J]. 中国公共卫生, 2009, 25(4): 415-416. DOI: 10.11847/zgggws2009-25-04-16
引用本文: 金子环, 马树祥, 董丽宏, 李雪芹, 朱洁茹, 张海艳. 孕前体质指数及孕期增重与母婴预后关系[J]. 中国公共卫生, 2009, 25(4): 415-416. DOI: 10.11847/zgggws2009-25-04-16
JIN Zi-huan, MA Shu-xiang, DONG Li-hong, . Relationship between pre-pregnancy body mass index, gestational weight gain and health of mother and infant[J]. Chinese Journal of Public Health, 2009, 25(4): 415-416. DOI: 10.11847/zgggws2009-25-04-16
Citation: JIN Zi-huan, MA Shu-xiang, DONG Li-hong, . Relationship between pre-pregnancy body mass index, gestational weight gain and health of mother and infant[J]. Chinese Journal of Public Health, 2009, 25(4): 415-416. DOI: 10.11847/zgggws2009-25-04-16

孕前体质指数及孕期增重与母婴预后关系

Relationship between pre-pregnancy body mass index, gestational weight gain and health of mother and infant

  • 摘要: 目的探讨正常孕妇孕前体质指数(BMI)及孕期增重对母婴健康影响。方法选取单胎初孕妇360人作为研究对象,按孕前BMI及孕期增重≤10,10.5~15,15.5~20,20.5~25,>25.5kg分组,并分别随访其妊娠结局。结果孕前肥胖组剖宫产、新生儿出生体重与正常组比较差异无统计学意义(P>0.05);肥胖组、孕期增重>15.5kg孕妇妊高征、妊娠期糖尿病明显增加(P<0.05),肥胖组孕期增重>10.5kg孕妇剖宫产明显增加(P<0.05);正常组孕期增重>20.5kg孕妇剖宫产明显增加(P<0.05);孕期体重增加与新生儿出生体重无关(P>0.05)。结论孕前体质指数是妊娠期并发症危险因素;孕期体重增加过多与妊娠结局有关,孕期合理控制饮食不会影响新生儿出生体重。

     

    Abstract: ObjectiveTo investigate the influence of the nounal pregnant woman's pre-pregnancy body mass index (BMI) and gestational weight gain on the health of mother and infant.MethodsThree hundreds and sixty cases of monomoiphic priniparas were selected and divided according to the pre-pregnancy BMI and the gestational weight gain into groups of no more than 10, 10-15, 15.5-20,20.5-25kg, and more than 25.5kg A 11 their pregnancy outcomes were followed up.ResultsThe cesarean section rate and neonatal weight of the pre-pregnancy obesity group had no difference compared with the pre-pregnancy noun alweight group(P>0.05).The occurrence rate of pregnancy induced hypertension and gestational diabetes mellitus of the pre-pregnancy obesity group and the group with pregnancy weight gain was more than 15.5kg showed significant increase(P<0.O5).The cesarean section rate of pregnant women with gestational weight gain more than 10.Skg showed an evident increase among the obesity group (P<0.O5).The cesarean sectionmte of those with pregnancy weight gain more than 20.Skg had an evident increase in the nounal group(P<0.05).The gestational weight gain was not related to the neonatal weight(P>0.05).ConclusionThe pre-pregnancy body mass index is a risk factor for the occurrence of pregnancy complications.Excess gestational weight gain is related to pregnancy outcoma and reasonable diet control during pregnancy can not influence the neonatal weight.

     

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