摘要
目的:探讨孕妇产前BMI及孕期BMI增幅对分娩方式、新生儿体重的影响。方法:选取单胎初孕妇360人作为研究对象,产前BMI≥28为肥胖组、产前BMI<28为正常组及孕期BMI增幅<4为Ⅰ组,4≤BMI≤6为Ⅱ组,>6为Ⅲ组。以分娩方式、新生儿出生体重为观察指标,对各组进行随访。结果:产前肥胖组剖宫产、新生儿体重明显增加(P<0.05);孕期BMI增幅≥4孕妇剖宫产增加、孕期BMI增幅>6孕妇巨大儿明显增加(P<0.05)。结论:产前BMI及孕期BMI增幅与妊娠结局有关,控制孕期体重过度增长,可降低母婴并发症。
Objective： To explore the effects of prenatal body mass index （ BMI） ,increase amplitude of gestational BMI on delivery modes and neonatal birth weight. Methods： 360 primiparous women of single birth were selected and divided into obesity group （ prenatal BMI≥28） and normal weight group （ prenatal BMI 28） ,at the same time,they were divided into group Ι （ increase amplitude of gestational BMI 4） ,group Ⅱ （ 4≤increase amplitude of gestational BMI≤6） and group Ⅲ （ increase amplitude of gestational BMI 6） . Among those groups,delivery modes and neonatal birth weight were observed and followed up. Results： The rate of cesarean section and neonatal weight increased significantly in obesity group （ P 0. 05） ; the rate of cesarean section in pregnant women with increase amplitude of gesta- tional BMI≥4 and the incidence of macrosomia in pregnant women with increase amplitude of gestational BMI 6 increased significantly （ P 0. 05） . Conclusion： Prenatal BMI and increase amplitude of gestational BMI are related to pregnancy outcomes,controlling pregnancy weight gain can reduce the complications of mothers and infants.
出处
《中国妇幼保健》
CAS
北大核心
2010年第17期2328-2329,共2页
Maternal and Child Health Care of China
基金
河北省科技厅科技攻关项目〔062761602〕
华北煤炭医学院科研基金项目〔06009〕
关键词
产前体重指数
孕期体重指数
分娩方式
新生儿体重
Prenatal body mass index
Gestational body mass index
Delivery mode
Neonatal birth weight
作者简介
通讯作者：华北煤炭医学院护理学系
