孕期体重增长幅度与巨大儿及产后出血发生的关系  

Relationship between gestation ponderal growth range and macrosomia and postpartum hemorrhage

作　　者：董渭盈[1] 陈敏[2] 

机构地区：[1]广东省珠海市妇幼保健院产科,519000 [2]广东省珠海市人民医院放射科

出　　处：《中国现代药物应用》2015年第4期214-215,共2页Chinese Journal of Modern Drug Application

摘　　要：目的：探讨孕期体重增长幅度与巨大儿及产后出血发生的关系,指导孕期体重控制,降低母婴不良结局。方法1135例入院时无任何并发症及合并症且单胎足月孕妇,根据产后出血与否分为：产后出血组（78例）和非产后出血组（105例）,对比两组产妇间体重增长情况。根据体重增长情况将所有产妇分为六组：体重增长〈5 kg组（32例）,5～10 kg组（146例）,10～15 kg组（424例）,15～20 kg组（410例）,20～25 kg组（98例）,〉25 kg组（25例）。经比较六组产妇在年龄、孕次、产次及分娩孕周上差异无统计学意义（P〉0.05）,具有可比性。统计分析产妇中出现产后的出血比例、孕期体重增长幅度与巨大儿、产后出血发生率的关系。结果产后出血组孕妇体重增重为（15.30＆#177;4.810）kg,大于非产后出血组孕妇的（14.24＆#177;5.508）kg,差异有统计学意义（P〈0.05）；产妇体重增长超过20 kg的巨大儿和产后出血发生率明显上升。结论孕期体重增长幅度对母婴结局有较大影响,对孕期体重进行合理的监控,可减少不良妊娠结局的发生率。Objective To investigate the relationship between gestation ponderal growth range and macrosomia and postpartum hemorrhage, to guide gestation weight control, and to reduce adverse outcomes in mom and infant.Methods There were 1135 pregnant women of full term single birth without any complications. They were divided into postpartum hemorrhage group （n=78） and non-postpartum hemorrhage group （n=1057） by their postpartum hemorrhage condition. All women were divided into six groups by their ponderal growth as growth〈5 kg group （n=32）, 5～10 kg group （n=146）, 10～15 kg group （n=424）, 15～20 kg group （n=410）, 20～25 kg group （n=98）, and 〉25 kg group （n=25）. A statistical analysis was made on proportion of postpartum hemorrhage and the relation between gestation ponderal growth range and macrosomia and postpartum hemorrhage.Results The ponderal growth of postpartum hemorrhage group was （15.30＆#177;4.810） kg, which was larger than （14.24＆#177;5.508） kg of non-postpartum hemorrhage group. The difference had statistical significance （P〈0.05）. Incidences of macrosomia and postpartum hemorrhage increased obviously in women who had ponderal growth more than 20 kg.Conclusion Gestation ponderal growth range has huge influence on the outcomes of mom and infant. Implement of rational gestation monitoring can reduce the incidence of adverse pregnancy outcomes.

关 键 词：妊娠 体重增长 巨大儿 产后出血 

分 类 号：R715.3[医药卫生—妇产科学]