摘要
[目的]研究孕期体重干预的可行性以及对妊娠结局的影响。[方法]2006年1～12月在某院产科门诊定期产检单胎头位初产妇360例,随机分为实验组和对照组,实验组孕妇接受体重干预教育,包括体重目标,均衡饮食,适量运动等,对照组接受常规产科检查。[结果]实验组平均体重增加(12.8±3.5)kg,对照组平均孕期体重增加(15.6±5.5)kg,实验组体重增加量低于对照组(P﹤0.05)。实验组成功实现孕期体重增加目标有157例,占88.2%。实验组和对照组的新生儿出生体重无显著差别,但实验组巨大儿的发生率7.9%低于对照组14.5%(P﹤0.05),实验组剖宫产率为58.4%低于对照组剖宫产率(64.8%)(P﹤0.05)。[结论]孕期体重干预可行性好,有利于妊娠结局。
[ Objective] To evaluate the possibility of controlling gestational weight gain and its impact on the pregnancy outcome. [Methods] A cohort of 360 primiparas with single fetal and fetal position which was head presentation were enrolled and divided into two groups randondy. The study group received education on how to control gestational weight and the control group received regular physical examinauon only. Various basic clinical characteristics including body mass index （BMI） and gestational weight gain were collected and maternal and neonatal outcomes were recorded. [ Results] The mean gestational weight gain was 12.8-3.5 kg in the study group, which wss lower than that in the control group （15.6±5.5） kg （P 〈 0.05）. About 88.2% women in the study group gained weight during pregnancy in the predicated range. Though no significant difference was observed in the mean birth weight between two groups （3.40±0.35kg and 3.52±0.37kg respectively, P 〉 0.05）, the rate of macrosomia was signifieandy lower among the study group than the control group （7.9% vs 14.5% P 〈 0.05）. The rate of caesarean section was higher among control group than study group （64.8% and 58.4% respectively P 〈 0.05）. [Conclusion] Controlling gestational weight gain has a good feasibility but also improves the pregnancy outcome.
出处
《现代预防医学》
CAS
北大核心
2008年第23期4588-4589,4591,共3页
Modern Preventive Medicine
关键词
体重控制
妊娠结局
Weight control
Pregnancy outcome
