单胎初产妇的产前体重指数对妊娠结局的影响  

The Effect of Prenatal Body Mass Index on Pregnancy Outcome in Singleton Primipara

作　　者：黄沫雅 何银芳[2] 

机构地区：[1]山西医科大学第一临床医学院,山西 太原 [2]山西医科大学第一医院产科,山西 太原

出　　处：《临床医学进展》2023年第12期18592-18598,共7页Advances in Clinical Medicine

摘　　要：目的:探讨产前体重指数(body mass index, BMI)对母儿并发症的发生及分娩结局的关系。方法:回顾性分析2021年01月01日至2022年12月31日于本院产科住院分娩的初产妇1417例,依据产前BMI分为正常体重、超重、肥胖三组。三组间母儿并发症及分娩结局进行对比,并将数据用SPSS26.0软件进行分析。结果:不同产前BMI组的新生儿体重、妊娠期高血压/子痫前期、巨大儿、早产、胎儿生长受限及胎儿窘迫发生率的比较,差异均有统计学意义(P < 0.05);在分娩方式中阴道分娩、器械助产、剖宫产及产程中转剖宫产的发生率的比较,差异均有统计学意义(P < 0.05)。结论:产前超重、肥胖与发生不良妊娠及分娩结局的风险增加相关,在孕前和孕期控制体重具有特别重要的意义。Objective: To investigate the relationship between prenatal body mass index (BMI) and maternal and fetal complications and delivery outcomes. Methods: A retrospective analysis was performed on 1417 primiparas who delivered in the hospital from January 1, 2021 to December 31, 2022. Ac-cording to prenatal BMI, they were divided into three groups: normal weight, overweight and obe-sity. The maternal and neonatal complications and delivery outcomes were compared among the three groups, and the data were analyzed by SPSS 26.0 software. Results: Among the different pre-natal BMI groups of birth weight, gestational hypertension/preeclampsia, macrosomia, premature delivery, fetal growth restriction and the comparison of the incidence of fetal distress, the differ-ences were statistically significant (P < 0.05);There were statistically significant differences in the incidence of vaginal delivery, instrumental delivery, cesarean section and conversion to cesarean section during labor between the two groups (P < 0.05). Conclusion: Prenatal overweight and obe-sity with an increased risk of adverse pregnancy and birth outcomes, during pregnancy and preg-nancy weight control is of great significance.

关 键 词：产前体重 母儿并发症 分娩结局 初产妇 

分 类 号：R71[医药卫生—妇产科学]