预防低出生体重儿的孕期护理探索  

Nursing exploring during pregnancy to prevent low birth weight: a case-control

作　　者：陈起燕[1] 陈烈平[2] 张荣莲[1] 陈碧香[1] 陈小梅[1] 林淑钦[1] 

机构地区：[1]福建省妇幼保健院保健部,350001 [2]福建医科大学公共卫生学院

出　　处：《中国妇幼保健》2007年第32期4552-4555,共4页Maternal and Child Health Care of China

基　　金：福建省科技厅立项重点项目;编号2004Y019

摘　　要：目的:探索预防低出生体重儿的孕期护理。方法:183例产妇,在产后24h对其进行问卷调查有关家庭、社会、经济情况及人口学特征,同时摘录相关孕期检查记录卡;对早产儿组低出生体重儿54例、足月小样儿组低出生体重儿26例、对照组103例进行病例对照研究。结果:3组中,早产组出生体重最低,早产是低出生体重的主要原因;早产组在各阶段的胎头双顶径均>足月小样儿组,且在35周前均不<对照组;足月小样儿组在29周以后越来越<对照组,本研究显示其差距呈波动性。各孕周孕妇体重与基础体重之间增加的情况显示,早产组各阶段一直处于最低,SGA组次之,对照组增加最多。结论:从孕期护理预防低出生体重儿,重点是预防早产儿的发生;关注B超预测与胎婴儿实际体重间的密切相关性是孕期护理不可忽视的工作;做好基础体重的测量与记录,把每次孕妇体重增加情况与基础体重比较,发现低于本研究中对照组增加幅度的,可及时给予孕期营养指导。Objective： To explore the nursing keystone during pregnancy. Methods： 183 questionnaires were used after 24 hours postpartum to survey the character of family, society, economy and demography and pregnancy check records. A case - control study during low birth weight （LBW） of preterm was for 54 cases, LBW of small gestational age （SGA） for 26 cases, and control group for 103 cases. Results： Among three groups, the birth weight of LBW of preterm was lowest, and it is the main cause of the LBW at present. The biparletal diameter （BPD） in the group of LBW of preterm in every stage was bigger than SGA group, and no less than the control group before 35 gestational age. But BPD in the group of SGA was smaller and smaller after 29 gestational age. The weight increasing of pregnant women compared with basic weight in different gestational age indicated that the preterm group was lowest, SGA group middle, and the control group highest. Conclusion： To prevent LBW of preterm in pregnant nursing is the main step for decreasing the LBW. Paying attention to the BPD with the fetus weight is the important aspect for pregnant nursing. Basic weight check and record is very important, and compared the increasing weight with the control group standard in every time, so as to give the nutrition guidance in time.

关 键 词：预防 低出生体重 孕期 护理探索 

分 类 号：R714[医药卫生—妇产科学]