摘要
目的探讨初次妊娠妇女孕早期剧吐与妊娠结局的关系。方法选取2015年1月-2017年1月在该院孕检且分娩的孕早期剧吐初次妊娠孕妇79例作为妊娠剧吐组,另选取同期在该院孕检且分娩的正常孕妇90例作为对照组,回顾性分析其临床资料,比较两组患者一般资料、孕前及孕早期体重变化、并发症发生率及不良妊娠结局的差异,并分析孕早期剧吐与妊娠结局的关系。结果两组孕妇年龄、孕周、文化程度、孕早期工作情况、并发症发生率比较,差异无统计学意义(P>0.05)。妊娠剧吐组孕早期焦虑的发生率高于对照组(P<0.05)。妊娠剧吐组孕早期体重及孕前-孕早期体重差值低于对照组(P<0.05)。两组自然流产、小于胎龄儿、胎儿窘迫发生率比较,差异无统计学意义(P>0.05),妊娠剧吐组早产、低出生体重儿的发生率高于对照组(P<0.05)。结论妊娠剧吐会造成初次妊娠孕妇妊娠早期体重下降,增加早产、低出生体重儿的发生风险。
Objective To explore the relationship between hyperemesis gravidarum during the first trimester of pregnancy and pregnancy outcomes in primiparous women. Methods From January 2015 to January 2017,79 primiparous women with hyperemesis gravidarum during the first trimester of pregnancy receiving prenatal examination and giving birth to their babies in Guangyuan Maternal and Child Health Care Hospital were selected as hyperemesis gravidarum group,and 90 normal pregnant women receiving prenatal examination and giving birth to their babies in the hospital during the same period were selected as control group. The clinical data was analyzed retrospectively. The general situations,weights before pregnancy and during the first trimester of pregnancy,the incidence rates of complications,and adverse pregnancy outcomes in the two groups were compared. The relationship between hyperemesis gravidarum during the first trimester of pregnancy and pregnancy outcomes was analyzed. Results There was no statistically significant difference in maternal age,gestational week,educational level,working condition during the first trimester of pregnancy,and incidence rate of complications between the two groups（ P〈0. 05）. The incidence rate of anxiety during the first trimester of pregnancy in hyperemesis gravidarum group was statistically significantly higher than that in control group（ P〈0. 05）. Weight during the first trimester of pregnancy and the difference value of weight between before pregnancy and the first trimester of pregnancy in hyperemesis gravidarum group were statistically significantly lower than those in control group（ P〈0. 05）. There was no statistically significant difference in the incidence rates of spontaneous abortion,small for gestational age infant,and fetal distress between the two groups（ P〉0. 05）. The incidence rates of premature birth and low birth weight infant in hyperemesis gravidarum group were statistically significantly higher than those in control group（ P〈0. 05）. Conclusion Hyperemesis gravidarum may cause weight decline of primiparous women during the first trimester of pregnancy,increase the risks of premature birth and low birth weight infant.
作者
李瑜秀
罗万翠
LI Yu-Xiu;LUO Wan-Cui(Guangyuan Maternal and Child Health Care Hospital,Guangyuan,Sichuan 628017,China)
出处
《中国妇幼保健》
CAS
2018年第16期3648-3650,共3页
Maternal and Child Health Care of China
关键词
妊娠剧吐
初次妊娠
体重
焦虑
妊娠结局
Hyperemesis gravidarum
Primipara
Weight
Anxiety
Pregnancy outcome
