孕期体重情况与巨大胎儿的关系  

Effect of Weight During Pregnancy on Macrosomia

作　　者：姜利 刘群[2] 蔡恒宇[2] 刘丽丽 Jiang Li;Liu Qun;Cai Hengyu;Liu Lili(Postgraduate Training Base of Jinzhou Medical University,Shenyang Maternity and Infant Hospital;Shenyang Maternity and Infant Hospital,Shenyang 110000 China;The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000 China)

机构地区：[1]锦州医科大学沈阳市妇婴医院研究生培养基地 [2]沈阳市妇婴医院,辽宁沈阳110000 [3]锦州医科大学附属第一医院,辽宁锦州121000

出　　处：《锦州医科大学学报》2020年第4期87-89,共3页Journal of Jinzhou Medical University

摘　　要：目的探讨孕产妇孕前BMI以及孕期体重增长对发生巨大儿的影响,为减少巨大儿发生率提供相关依据。方法选取300例巨大儿及300例正常体重新生儿病例,记录母亲的孕前体重、分娩前体重、孕期体重增长情况,计算母亲的孕前BMI、孕期增重程度,分析孕妇体重变化情况与发生巨大儿的关系。结果病例组孕前BMI、孕期增重与对照组比较差异有显著性意义(P<0.05)。孕前BMI(OR=1.242,95%CI:1.156~1.336)、孕期增重过多(OR=2.177,95%CI:1.334~3.552)是发生巨大儿的危险因素。结论巨大儿的发生与母亲孕前BMI、孕期增重过多密切相关。Objective To investigate the influence of maternal BMI before pregnancy and weight gain during pregnancy on macrosomia,so as to provide relevant basis for reducing the incidence of macrosomia.Methods 300 cases of macrosomia and 300 cases of normal weight neonates were selected to record the weight before pregnancy,the weight before delivery and the weight gain during pregnancy.The weight gain before pregnancy and weight gain during pregnancy were calculated,and the relationship between the weight change of pregnant women and the occurrence of macrosomia was analyzed.Results BMI before pregnancy and weight gain during pregnancy in the case group were significantly different from those in the control group(P<0.05).Pre-pregnancy BMI(OR=1.242,95%CI:1.156~1.336),excessive weight gain during pregnancy(OR=2.177,95%CI:1.334~3.552)were risk factors for the occurrence of macrosomia.Conclusion The occurrence of macrosomia is closely related to BMI before pregnancy and excessive weight gain during pregnancy.

关 键 词：巨大儿 孕期体重 BMI 

分 类 号：R714.5[医药卫生—妇产科学]