孕前体重指数与孕期体重增长对妊娠结局的影响  

Effects of pre-pregnancy body mass index and body weight gain during pregnancy on pregnancy outcome

作　　者：陈海霞[1] 

机构地区：[1]江苏省连云港市妇幼保健院,222006

出　　处：《中国妇幼保健》2011年第21期3237-3239,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨孕前体重指数与孕期体重增长对妊娠结局的影响。方法:选取2004年1月～2008年3月在连云港市妇幼保健院建卡并住院分娩的体重指数>24的孕妇100例,随机抽取同期分娩体重指数正常的孕妇300例,随访他们的妊娠结局。结果:①高于标准体重组的妊娠期糖尿病(GDM)、妊娠期高血压疾病(PIH)、巨大儿的发病率(分别为12.00%、14.00%、10.00%)明显高于标准体重组(分别为4.00%、4.33%、5.66%),差异有显著性意义(P<0.01);②高于标准体重组中,发生GDM组孕期体重增长明显低于未发生GDM组孕期体重增长,差异有显著性意义;③孕期体重增长≥15 kg者,其妊娠期高血压疾病、巨大儿的发病率及剖宫产率较体重增长<15 kg者高,差异具有统计学意义(P<0.01)。结论:妊娠前体重标准和孕期体重增长<15 kg者及妊娠期糖尿病体重控制正常的孕妇妊娠结局好。Objective：To explore the effects of pre-pregnancy body mass index and body weight gain during pregnancy on pregnancy outcome. Methods：100 pregnant women（body mass index24） who established cards and deliveried in the hospital from January 2004 to March 2008 were selected,then 300 pregnant women with normal body mass index who deliveried in the hospital at the same time were selected randomly,their pregnancy outcomes were followed up. Results：The incidences of gestational diabetes mellitus（GDM）,hypertensive disorder complicating pregnancy（HDCP） and macrosomia in overweight group were 12.00%,14.00% and 10.00%,respectively,which were significantly higher than those in standard weight group（4.00%,4.33% and 5.66%,respectively）（P0.01）.In overweight group,the body weight gain during pregnancy in GDM group was significantly lower than that in non-GDM group;the incidences of HDCP and macrosomia and the rate of cesarean section in the pregnant women with body weight gain during pregnancy≥15 kg were significantly higher than those in the pregnant women with body weight gain during pregnancy15 kg（P0.01）. Conclusion：The pregnant women with standard pre-pregnancy body weight,body weight gain during pregnancy15 kg and normal body weight when they have GDM have good pregnancy outcomes.

关 键 词：孕前体重指数 孕期体重增长 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]