孕期体重与分娩结局的相关性研究  

Correlation between body weight and delivery outcome in pregnancy

作　　者：余丽辉[1] YU Li-Hui(Department of Obstetrics and Gynecology, Changsha Central Hospital, Hunan 410000, China.)

机构地区：[1]长沙市中心医院妇产科,长沙410000

出　　处：《中国处方药》2017年第6期4-5,共2页Journal of China Prescription Drug

摘　　要：目的研究孕妇孕期体重情况与妊娠分娩结局的相关性,探讨孕期体重控制对妊娠的影响。方法选取2015年5月~2016年5月来院体检、就诊的孕妇作为研究对象,根据孕期体重增长情况分为2组:10 kg<体重变化<15 kg的孕妇分至正常体重增长组,15 kg<体重变化<25 kg的孕妇分至高体重增长组。通过比较不同孕期增长体重孕妇一般情况、妊娠期并发症、妊娠结局中孕妇情况和胎儿情况的差异,对孕期体重与分娩结局的相关性进行综合性评价。结果正常体重增长组孕周平均(39.74±0.91)周,高体重增长组孕周平均(39.81±0.89)周,孕期体重变化与孕周不存在相关性。正常体重增长组妊娠期高血压疾病、妊娠期糖尿病发生率显著低于高体重增长组(P<0.05)。正常体重增长组发生剖宫产、产程阻滞、产后出血的概率分别为10.1%、3.5%、5.8%,与高体重增长组比较,差异有统计学意义(P<0.05)。正常体重增长组胎儿窘迫、新生儿窒息、巨大儿发生率显著低于高体重增长组(P<0.05)。结论孕妇在孕期体重增长过高,发生妊娠期高血压疾病、妊娠期糖尿病的几率增加,妊娠结局中剖宫产、产程阻滞、产后出血、胎儿窘迫、新生儿窒息、巨大儿的发生率也增加。Objective To study the correlation between maternal weight and pregnancy outcome of pregnancy.Methods From May2015to May2016,pregnant women who examination or treatment in the hospital as the research object,according to the weight gain during pregnancy were divided into twogroups,10kg<weight changes<15kg of pregnant women as normal weight gain group,15kg<weight changes<25kg of pregnant women as highgrowth group.Comparison of two groups of general circumstances,complications of pregnancy,pregnancy outcome of the situation of pregnant women and thefetus.To evaluate the correlation between pregnancy weight and delivery outcome.Results In normal weight gain group the average gestational ageis(39.74+0.91)weeks,high weight growth group the average gestational ageis(39.81+0.89)weeks,There was no correlation between gestational weight change andgestational age.The incidence of gestational hypertensive disorder and gestational diabetes mellitus in normal weight gain group was significantly lower than thatin high weight gain group(P<0.05).The normal weight gain group had cesarean section,labor arrest,respectively the probability of postpartum hemorrhagewas10.1%,3.5%,5.8%,compared with the high growth of body weight,the difference was statistically significant(P<0.05).The normal weight gain groupof fetal distress,neonatal asphyxia,the incidence of macrosomia was significantly lower than the high growth group(P<0.05).Conclusion Pregnant womenin pregnancy weight gain is too high,incidence of hypertensive disorders in pregnancy,gestational diabetes increases risk in the end.pregnancy cesareansection,labor arrest,postpartum hemorrhage,fetal distress,neonatal asphyxia,the incidence rate of macrosomia increased,so the balanced diet nutrition,reasonable.

关 键 词：孕期体重增长 妊娠分娩结局 妊娠期 并发症 

分 类 号：R714[医药卫生—妇产科学]