摘要
目的分析不同孕前BMI和妊娠期体重增长(GWG)初产妇的妊娠及新生儿结局。方法回顾性分析3531例初产妇的临床资料。按照孕前BMI,初产妇分为A组(低体重,BMI<18.5kg/m^(2),373例)、B组(正常体重,18.5kg/m^(2)≤BMI<24.0kg/m^(2),1986例)、C组(超重,24.0kg/m^(2)≤BMI<28.0kg/m^(2),766例)和D组(肥胖,BMI≥28.0kg/m^(2),406例);根据GWG,A组进一步分为A1组(GWG<11.0kg)、A2组(11.0kg≤GWG≤16.0kg)和A3组(GWG>16.0kg);B组进一步分为B1组(GWG<8.0kg)、B2组(8.0kg≤GWG≤14.0kg)和B3组(GWG>14.0kg);C组进一步分为C1组(GWG<7.0kg)、C2组(7.0kg≤GWG≤11.0kg)和C3组(GWG>11.0kg);D组进一步分为D1组(GWG<5.0kg)、D2组(5.0kg≤GWG≤9.0kg)和D3组(GWG>9.0kg)。比较各组一般资料、妊娠结局及新生儿结局。结果B、C、D组年龄、分娩前体重、分娩前BMI和新生儿体重高于A组,D组GWG低于A、B、C组,C、D组分娩前体重、分娩前BMI高于B组(P<0.05)。A、B、C、D组剖宫产、妊娠期高血压疾病、妊娠期高血糖、早产、巨大儿、低体重儿比例均有统计学差异(P<0.05)。不同GWG初产妇剖宫产、妊娠期高血压疾病、妊娠期高血糖、早产、巨大儿、低体重儿比例有统计学差异(P<0.05)。结论孕前BMI和GWG与妊娠结局及新生儿结局密切相关。加强孕前及妊娠期管理,控制孕前BMI在正常范围,合理控制GWG,可有效改善妊娠结局及新生儿结局。
Objective To analyze the pregnancy and neonatal outcomes of the primiparas with different pre-pregnancy BMI and gestational weight gain(GWG).Methods The clinical data of 3531 primiparas were retrospectively analyzed.According to pre-pregnancy BMI,the primiparas were divided into groups of A(BMI<18.5kg/m^(2),373cases),B(18.5kg/m^(2)≤BMI<24.0kg/m^(2),1986cases),C(24.0kg/m^(2)≤BMI<28.0kg/m^(2),766cases)and D(BMI≥28.0kg/m^(2),406cases).According to GWG,group A was subdivided into groups of A1(GWG<11.0kg),A2(11.0kg≤GWG≤16.0kg)and A3(GWG>16.0kg),group B was subdivided into groups of B1(GWG<8.0kg),B2(8.0kg≤GWG≤14.0kg)and B3(GWG>14.0kg),group C was subdivided into groups of C1(GWG<7.0kg),C2(7.0kg≤GWG≤11.0kg)and C3(GWG>11.0kg),and group D was subdivided into groups of D1(GWG<5.0kg),D2(5.0kg≤GWG≤9.0kg)and D3(GWG>9.0kg).The general data,pregnancy and neonatal outcomes were compared among the groups.Results The age,pre-delivery weight,pre-delivery BMI and neonatal weight in groups of B,C and D were higher than those in group A(P<0.05).GWG was lower in group D than that in groups of A,B and C(P<0.05).The pre-delivery weight and pre-delivery BMI in group C and group D were higher than those in group B(P<0.05).There were significant differences in the proportions of Cesarean section,gestational hypertension,gestational hyperglycemia,preterm birth,macrosomia and low birth weight among the groups of A,B,C and D(P<0.05).There were statistical differences in the proportions of Cesarean section,gestational hypertension,gestational hyperglycemia,preterm birth,macrosomia and low birth weight among the different GWG primiparas groups(P<0.05).Conclusion Pre-pregnancy BMI and GWG are closely related to the pregnancy and newborn outcomes.Strengthening pre-pregnancy and pregnancy management,controlling pre-pregnancy BMI within normal range and rationally controlling pregnancy weight gain can effectively improve the pregnancy and newborn outcomes.
作者
杨彩霞
YANG Caixia(Department of Obstetrics,Tianjin Baodi Hospital(Tianjin Medical University Baodi Hospital),Tianjin 301800,CHINA)
出处
《江苏医药》
CAS
2024年第10期1051-1055,共5页
Jiangsu Medical Journal
关键词
体重指数
妊娠期体重增长
初产妇
Body mass index
Gestational weight gain
Primiparas
