孕前体重指数和孕期体重控制对妊娠结局的影响

员海娟

（中铁一局集团西安中心医院妇产科，陕西 西安，710065）

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摘要：

目的 探讨孕前体重指数和孕期体重控制对妊娠结局的影响。方法 以我院妇产科2013 年1 月至2016 年1 月行产前检 查并分娩、临床资料完整的足月单胎活产孕产妇600 例为研究对象，依照孕前体重指数分成超重组（80 例）与标准组（520 例），按照孕妇孕期体重增加情况各组分成三组（标准组：增重<10 kg 组46 例、增重10~14 kg 组186 例、增重≥15 kg 组288 例；超重组：增重约10 kg 组9 例、增重10~14 kg 组39 例、增重≥15 kg 组32 例），观察比较各组孕妇妊娠期高血压、糖尿病、剖宫产、巨大儿及新生儿窒息发生率。结果 超重组孕妇各项并发症发生率均高于标准组，差异具有统计学意义（P<0.05）；标 准组和超重组内的增重约10 kg 组、增重10~14 kg 组和增重逸15 kg 组孕妇的各项并发症发生率比较，差异不具有统计学意 义（P>0.05）。结论 孕妇孕前保持心情舒畅，孕期控制体重增幅可以有效减少孕妇妊娠期高危症状，具有临床推广价值。

关键词：孕前体重指数；孕期体重控制；妊娠结局

中图分类号：R714.1文献标志码：A文章编号：2096-1413(2018)01-0125-02

Effects of prepregnancy body mass index and body weight control during pregnancy on pregnant outcome
YUN Hai-juan
(Obstetrics and Gynecology Department, Xi``an Central Hospital of China Railway First Group Co.,Ltd,Xi``an 710065, China)

ABSTRACT: Objective To explore the effects of prepregnancy body mass index and body weight control during pregnancy on pregnancy outcome. Methods From January 2013 to January 2016, 600 full -term singleton live births pregnant women with complete information admitted in our hospital were selected and divided into standard group (520 cases) and overweight group (80 cases) according to the BMI of pregnant women. The two groups were divided into three groups respectively according to the increase of weight during pregnancy (standard group: 46 cases with weight increasement < 10 kg, 186 cases with weight increasement of 10-14 kg, 288 cases with weight increasement over than 15 kg; overweight group: 9 cases with weight increasement < 10 kg, 39 cases with weight increasement of 10-14 kg, 32 cases with weight increasement ≥15 kg). The incidence of gestational hypertension and gestational diabetes, the rate of cesarean section, fetal macrosomia and neonatal asphyxia were compared in the groups. Results The incidences of every complication in the overweight group were obviously higher than those in the standard group, and the differences were statistically significant (P<0.05). There were no significant differences in the incidence of every complications among the three groups (weight increasement <10 kg group, weight increasement of 10-14 kg group, weight increasement <15 kg group) of both standard group and overweight group respectively (P>0.05). Conclusion Being relaxing during progestation and control of bodyweight during pregnancy can effectively reduce the risk of symptoms during pregnancy, which have clinical promotion value.
KEYWORDS: prepregnancy body mass index; body weight control during pregnancy; pregnancy outcome

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