营养指导对体重过重孕妇妊娠结局的影响  

Effects of nutritional guidance on pregnancy outcomes in overweight pregnant women

作　　者：汤琳琳[1] 徐友娣[1] 

机构地区：[1]南京医科大学附属南京医院南京市第一医院妇产科,江苏南京210006

出　　处：《现代医学》2015年第10期1238-1241,共4页Modern Medical Journal

摘　　要：目的:探讨营养指导对体重过重孕妇妊娠结局的影响。方法:回顾性分析384例在我院进行围产期常规检查、接受个体化孕期营养指导并分娩孕妇的临床资料,分析体重过重孕妇经营养指导后的妊娠结局。结果:营养指导后,仅有部分体重过重孕妇能达到较理想的体重增长;孕妇孕前体质指数越高,其产前体重达标率越低。孕前体重正常而孕中期产前检查发现体重增加过快的孕妇,经营养指导后产前体重达标率较高,且有良好的妊娠结局;孕前超重或肥胖孕妇经营养指导后产前体重达标率偏低,不良妊娠结局多。结论:营养指导对孕前体质指数正常而孕期体重增加过快的孕妇效果较好。超重或肥胖妇女应在孕前将体重减轻至正常范围以期得到最好的妊娠结局。Objective： To investigate the effects of nutritional guidance on the pregnancy outcome in overweight pregnant women. Methods： The clinical data of 384 pregnant women in our hospital who had received the perinatal routine check,the individualized nutritional guidance and delivered were analyzed and the outcome of pregnancy for overweight pregnant women after nutrition guidance was analyzed also. Results： After nutritional guidance,only part of the overweight pregnant women could achieve the ideal weight gain. The pre-pregnancy body mass index of pregnant women was higher,their prenatal weight target rate was lower. The pregnant women who were normal prepregnancy weight but in the mid pregnancy had rapid increased weight had the higher antenatal weight target rate and got the good pregnancy outcomes after nutritional guidance. However,those overweight or obese pregnant women had lower control rate and more adverse pregnancy outcomes. Conclusion： The nutritional guidance has a better effect on the pregnant women with normal pre-pregnancy body mass index and quickly incremental weight during pregnancy. The overweight or obese women should lose weight to the normal range before pregnancy in order to achieve the best pregnancy outcomes.

关 键 词：营养指导 体质指数 妊娠结局 

分 类 号：R714.7[医药卫生—妇产科学]