摘要
目的:描述昆山市2001～2009年9年间低出生体重(LBW)发生率,分析产妇及胎儿特征对低出生体重的影响。方法:利用昆山市《围产保健监测系统》研究33 631对产妇与胎儿,使用单因素与多因素无序多分类Logistic回归分析来估计各因素对出生体重的影响。结果:LBW发生率为1.86%。产妇超重肥胖、有人工流产史、男性胎儿可减小LBW发生风险。产妇体质指数偏低、初产妇、习惯性流产史可增加LBW发生风险。按照体质指数(BMI)分层,相对于LBW,BMI偏低组,高水平的孕期体重变化均可减小LBW胎儿发生风险。BMI正常组,高水平的孕期体重变化可减小LBW胎儿发生风险。没有发现在超重与肥胖组产妇孕期体重变化与分娩LBW胎儿之间存在统计学关联。结论:LBW发生率为1.86%,产妇与胎儿特征综合影响LBW。体重偏低与正常人群中,高水平的孕期体重变化可减小LBW发生风险。
Objective： To describe the icidence rate of low birth weight （LBW） in Kunshan city from 2001 to 2009, and analyze the effects of maternal and fetal characteristics on LBW. Methods： A total of 33 631 pairs of lying - in women and fetuses were researched based on Kunshan perinatal health care monitoring system, the effects of various factors on birth weight was analyzed by univariate and muhi- variate disordered muhiple classification Logistic regression analysis. Results ： The incidence rate of LBW was 1.86%. Maternal overweight and obesity, history of artificial abortion, and male fetuses reduced the risk of LBW. Maternal overweight and obesity, previous induced a- bortion, male fetuses were associated with the decreasing incidence of LBW, maternal BMI less than 18.5 kg/m, moderate and severe preg- nancy - induced parity, previous habitual abortion were associated with the increasing incidence of LBW. Conclusion ： The prevalence of low birth weight is 1.86%. Maternal and fetal characteristes are associated with the increase of the prevalence of LBW as a whole.
出处
《中国妇幼保健》
CAS
北大核心
2013年第15期2383-2386,共4页
Maternal and Child Health Care of China
关键词
低出生体重
发生率
产前检查
孕期体重变化
昆山
Birth Weight, Prevalence, Low Birth Weight , Gestational Weight Gain, Kunshan
作者简介
通信作者E-mail：syp-shen@yahoo．com．cn
