摘要
目的:探讨孕妇肥胖对分娩方式及新生儿体重的影响。方法:选取单胎初产妇360例作为研究对象,按照孕妇体重指数(BMI)分组。孕前肥胖组33例,孕前体重正常组327例;产前肥胖组204例,产前体重正常组156例;按孕期体重绝对增加值分组分为≤10kg(A组)、10.5～15kg(B组)、15.5～20kg(C组)、20.5～25kg(D组)、>25.5kg(E组)共5组。以分娩方式及新生儿体重为观察指标对各组进行分析比较。结果:孕前肥胖组分娩方式、新生儿体重与孕前正常组比较差异无统计学意义(P>0.05);产前肥胖组剖宫产、新生儿出生体重与产前正常组比较差异有统计学意义(P<0.05);C、D、E3组分别与A、B两组比较,巨大儿、剖宫产率差异有统计学意义(P<0.01)。结论:加强围产期保健,控制孕期体重,避免肥胖,可减少母婴并发症。
Objective ： To explore the effect of obese pregnant women on delivery modes and neonatal weight. Methods： 360 single birth, primiparous women were selected and divided into four groups according to body mass index （BMI） ： pre - pregnancy obesity group （n = 33 ）, pre -pregnancy normal weight group （n = 327 ）, antenatal obesity group （n = 204） and antenatal normal weight group （n = 156 ） At the same time, the 360 primiparous women were divided into five groups according to the numerical value of absolute gestational weight gain： ≤10kg group （group A）, 10. 5 -15kg group （group B）, 15.5 -20kg group （group C）, 20.5 -25kg group （group D）, 〉 25.5kg group （group E） . The delivery modes and neonatal weight between the groups were analyzed and compared. Results： There was no significant difference in the delivery modes and neonatal weight between pro - pregnancy obesity group and pre - pregnancy normal weight group （ P 〉 0. 05 ） ; there was significant difference in cesarean rate and neonatal weight between antenatal obesity group and antenatal nor- mal weight group （ P 〈 0. 05） ; there was significant difference in cesarean rate mad the rate of macrosomia between group C, group D, group E and group A, group B （P 〈 0. 01 ） . Conclusion： Strengtherfing perinatal health care and controlling pregnancy weight gain can lower complications incidence of mothers and infants.
出处
《中国妇幼保健》
CAS
北大核心
2009年第21期2945-2946,共2页
Maternal and Child Health Care of China
基金
河北省科技厅科技攻关项目(062761602)
华北煤炭医学院科研基金资助项目(06009)
关键词
孕妇
肥胖
孕期体重增加
分娩方式
新生儿体重
Pregnant women
Obesity
Gestational weight gain
Delivery mode
Neonatal weight
