双胎孕妇孕期增重与围生儿出生结局  

Analysis of the association between the maternal weight gain and the perinatal outcome for twins pregnancy

作　　者：胡秀华[1] 沈艳辉[2] 文晓萍[2] 胡月英[1] 靳蕾[2] 任爱国[2] 张伯兰 陈海兰 李敏 程洪 陈华[5] 沈彩娥[6] 孙霞美 侯广旺 杜宝芝 陈新[2] 李竹[2] 

机构地区：[1]慈溪市妇幼保健院,浙江315300 [2]北京大学生育健康研究所 [3]河北香河县妇幼保健所 [4]浙江舟山市妇幼保健院 [5]浙江嘉兴市妇幼保健院 [6]江苏苏州市妇幼保健院 [7]浙江海宁市妇幼保健院 [8]河北丰润县妇幼保健院 [9]河北满城县妇幼保健院

出　　处：《中国生育健康杂志》2003年第4期219-221,共3页Chinese Journal of Reproductive Health

基　　金：美国疾病控制中心资助 (编号 :980 75号 )

摘　　要：目的　探讨双胎孕妇孕期增重的适宜范围。　方法　描述母孕 2 8～ 4 4周增重与死胎死产、新生儿死亡率及低出生体重儿率的关系 ,找出双胎孕期增重最佳范围。　结果　双胎孕期增重不足 16 kg的占 6 2 .9% (892 /14 17) ,不足 10 kg的占 2 1.2 % (30 0 /14 17) ;双胎孕期增重 16 .0～2 4 .0 kg时死胎死产率和新生儿死亡率均低于 3.0 % ;随孕期增重的增加 ,低出生体重儿率不断下降。　结论　双胎孕妇孕期增重与围生儿出生结局相关 ,双胎孕妇孕期增重应在 16 .0～ 2 4 .0 kg之间。Objectives To evaluate the optimal maternal weight gain patterns in twin pregnancy. Methods By describing the relationship between perinatal mortality,low birth weight and maternal weight gain in twins,find the optimal range of weight gain during pregnancy. Results Women with weight gain below 16 kg in pregnancy accounted for 62.9 %(892/1 417),below 10 kg for 21.2 %(300/1 417).The perinatal mortality was below 3 % as the maternal weight gain ranged between 16.0 and 24.0 kg.With the increasing of weight gain,the incidence of low-birth weight infants declined. Conclusion The results suggested,that maternal weight gain was associated with the perinatal outcome in twins.A range of 16.0～24.0 kg of maternal weight gain wowld be optimal in twin pregnancy.

关 键 词：双胎 孕妇 孕期 增重 围生儿 出生结局 

分 类 号：R714.7[医药卫生—妇产科学]