母亲孕期的体重增长与巨大儿关系的初步研究  

Relationship between maternal weight gain and fetal macrosomia.

作　　者：应玉萍[1] 

机构地区：[1]中国福利会国际和平妇幼保健院,上海200030

出　　处：《中国优生与遗传杂志》1999年第6期62-62,61,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的：探讨巨大儿的发生与母亲孕期体重增长的关系－ 方法：对１２８ 例巨大儿的母亲的孕期体重增长进行回顾性分析，同期１３０ 例正常出生体重婴儿母亲的孕期体重增长作为对照研究。根据孕前体质指数（ＢＭＩ）将所有研究对象分为四种类型人群即低体重型、正常体重型、超重型、胎胖型。结果：巨大儿母亲的孕期体重增长比对照组重约２－５ｋｇ。巨大儿组中超重型及胎胖型妇女所占的比例比对照组为高（１５－６ ％ 比２－３ ％） ，但孕期体重增长对超重型及肥胖型妇女所分娩婴儿的出生体重无明显影响。结论：孕期体重增长对非超重型妇女有预测巨大儿发生的作用。Objective:To investigate the relationship between maternal weight gain and infant macrosomia. Methods:128 mothers with infant macrosomia were subjected to study the effect of maternal weight gain on infant macrosomia, 130 mothers with infant normalized birthweight served as controls. The sample was stratified into four categones according to prepregnanct weight for height with use of a body mass index. Results: Weight gain during pregnancy was 2.5kg more in the owmen with macrosomia as compared with the controls(P<0.005). The indidence of overweight women in the macrosomic group was higher than that of the control group (15.6%vs. 2.3%),but weight gain during pregnancy had no significant effect on birth weight for the overweight women. Conclusins:weight gain during pregnancy was found to be a significant predictor of fetal macrosomia.

关 键 词：巨大胎儿 体质指数 孕期 体重增长 

分 类 号：R714.14[医药卫生—妇产科学] R722[医药卫生—临床医学]