孕晚期控制新生儿出生体重的临床探讨  

clinical observation of late trimester of pregnancy controlled birth weight

作　　者：易清[1,2] 彭莲红[1,2] 姚春芬[1,2] 周静[1,2] 

机构地区：[1]江西省安福妇幼保健院,江西343200 [2]中南大学湘雅医学院,湖南长沙410008

出　　处：《湖南中医药大学学报》2009年第10期10-13,共4页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨孕晚期控制新生儿出生体重对降低剖宫产率,减少孕妇及新生儿并发症的临床意义。方法孕36 w时通过彩色多普勒测量计算出胎儿体重大于2500 g,饮食量好无妊娠合并症及并发症的孕妇134例,随机平分为观察组和对照组,对观察组孕妇进行健康宣教,限制进食量,增加运动量;对照组不予干预。结果比较控制饮食和适量运动的观察组和没有控制饮食和适量运动的对照组显示,控制饮食和适量运动能降低产后并发症糖尿病(P=0.028)、妊高症(P=0.033)和贫血(P=0.000)的发生;也能减少巨大婴儿(P=0.049);还能降低剖宫率(P=0.002)的发生。结论孕晚期通过对孕妇限制进食量,增加运动量有效地控制新生儿出生体重,降低剖宫产率,减少孕妇及新生儿并发症。Objective To investigate the control of neonatal birth weight during late pregnancy to reduce cesarean section rates,the reduction of maternal and neonatal complications of clinical significance.Methods 36 w pregnant, when calculated by color Doppler measurement of fetal weight greater than 2500 g, eating a good amount of non-pregnant women with pregnancy complications and complications of 134 cases were randomly divided into two groups and the control group, to observe the group of healthy pregnant women missionary to restrict food intake, increasing physical activity; the control group no intervention.Results comparison of controlled diet and regular exercise no control over the observation group and the diet and regular exercise control group indicating that controlling the diet and regular exercise can reduce the postnatal coraplications,diabetes（P=0.028）, pregnancy-induced hyperten- sion（P=0.033） and anemia （P=0.000） from occurring; also can reduce the huge baby（P=0.049）; also reduces the rate of cesarean section（P=0.002） from happening.Conclusion late trimester of pregnancy women limit food intake by increasing exercise effective control of neonatal birth weight, lower cesarean section rate, reducing maternal and neonatal complications.

关 键 词：孕晚期 控制 新生儿出生体重 

分 类 号：R722[医药卫生—儿科]