孕期体重管理对控制足月新生儿体重与产妇妊娠结局改善效果分析  

Analysis of the effect of pregnancy weight management on the control of full-term newborn weight and maternal pregnancy outcome

作　　者：陈瑶[1] 王建英[1] 莫志怀 曹建用[1] 

机构地区：[1]中山大学附属第五医院产科,广东珠海519000

出　　处：《上海医药》2017年第14期60-62,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨孕期体重管理对控制足月新生儿体重与产妇妊娠结局改善效果。方法:收集2015年4月至2016年9月期间收治的160例登记分娩与完成分娩后配合规范随访的孕妇,依据不同孕期管理分为对照组(80例)与观察组(80例),对照组采用常规孕期产检管理,观察组在对照组的基础上采用针对性孕期体重管理。分析不同孕期管理对控制足月新生儿体重与产妇妊娠结局改善效果。结果:观察组孕妇孕期平均增重为(13.5±3.9)kg,对照组为(18.9±4.3)kg,差异有统计学意义(P<0.05)。观察组低体重儿与巨大儿的比例分别为2.5%与3.75%,对照组分别为10%与13.75%,两组差异具有统计学意义(P<0.05)。在剖宫产率上,观察组为53.75%,对照组为71.25%,两组差异具有统计学意义(P<0.05)。观察组的产后大出血、产程阻滞、妊高症与妊娠期糖尿病发生率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:孕期体重管理对控制足月新生儿体重与产妇妊娠结局改善有明显效果,并减少了孕期并发症,提升阴道分娩顺利程度。Objective：To investigate the effect of pregnancy weight management on the control of full-term newborn weight and the improvement of maternal pregnancy outcomes. Methods：From April 2015 to September 2016, 160 registered births and pregnant women who completed deliveries cooperating with the standard follow-up were collected and according to different management during pregnancy they were divided into a control group and an observation group with 80 patients each, the control group received routine prenatal examination management, on the basis of the control group the observation group used the targeted pregnancy weight management. The effects of controlling the weight of full-term neonates and maternal pregnancy outcomes after different pregnancy management were analyzed. Results：The average weight gain of the pregnant women in the observation group was（13.5±3.9） kg, the control group was（18.9±4.3） kg, and the difference was statistically significant（P0.05）. The proportion of low weight infants and macrosomia was 2.5% and 3.75% in the observation group and 10% and 13.75% in the control group, respectively, and the difference between the two groups was statistically significant（P0.05）. In cesarean section rate, the observation group was 53.75%, the control group was 71.25%, and the difference between the two groups was statistically significant（P0.05）. The incidence of postpartum hemorrhage, birth retardation, pregnancy induced hypertension and gestational diabetes mellitus in the observation group were significantly lower than those in the control group, and the difference was statistically significant（P0.05）. Conclusion：Pregnancy weight management has obvious effect on the control of newborn weight and maternal pregnancy outcomes, reduces pregnancy complications and improves the smooth level of vaginal delivery.

关 键 词：孕期体重管理 足月新生儿体重 产妇妊娠结局 效果评价 

分 类 号：R715.3[医药卫生—妇产科学]