摘要
目的探讨孕前体重指数及孕期增重对围生结局的影响。方法选取2015年1月~2017年7月在我院产科门站建档和住院分娩的476例孕妇作为研究对象,计算孕前BMI、追踪孕期增重、临分娩前体重、新生儿出生体重及分娩结局。根据我国BMI的分类标准分组,分为低体重组56例,正常体重组253例,超重组126例,肥胖组41例;根据孕期增重分为孕期增重不足组60例,孕期增重适宜组300例,孕期增重过多组116例。结果按BMI分组,四组孕妇GDM、巨大儿的发病率及剖宫产率差异有统计学意义(P<0.05)。低体重组巨大儿的发病率及GDM的发病率均为0,剖宫产率为26.78%,正常体重组的GDM发病率为7.11%,巨大儿发病率为4.74%,剖宫产率为37.54%,超重组的GDM发病率为14.28%,巨大儿发病率为7.94%,剖宫产率为54.76%,肥胖组的GDM发病率为24.39%,巨大儿的发病率为24.39%,剖宫产率为60.97%;根据孕期增重分组,孕期增重过多的孕妇GDM、巨大儿、剖宫产率高于增重不足及正常增重的孕妇(P<0.05),孕期增重不足组的GDM发生率为3.33%,巨大儿发病率为1.67%,剖宫产发病率为30.00%,孕期增重适宜组,GDM发生率为6.33%,巨大儿发病率为6.00%,剖宫产率为40.33%,孕期增重过多组,GDM的发生率为21.55%,巨大儿发生率为11.21%,剖宫产率为56.03%。结论孕前体重指数及孕期增重过多GDM、巨大儿发生率及剖宫产率均增高。
Objective To explore the influence of pre-pregnancy body mass index （BMI） and weight gain during pregnancy on the outcome of cesarean section.Methods 476 cases of pregnant women,who were checked and had hospital delivery in our hospital from January 2015 to July 2017,were selected as the research objects;the BMI before pregnancy was calculated;weight gain during pregnancy,body weight before delivery,neonatal birth weight and birth outcomes were also traced.The subjects were classified in accord with the China BMI classification＂standard,ineluding underweight group with 56 cases,normal weight group with 253 cases, overweight group with 126 cases and obese group with 41 cases;according to the weight gain during pregnancy,they were classified into deficient-gain group with 60 cases,nor- mal-gain group with 300 cases,excessive-gain group with 116 eases.Results Based on BMI classification,the pregnant women＇s GDM rate,macrosomia rate and cesarean section rate of the four groups were significantly different,which were statistically significant （P〈0.05）.For the underweight group,maerosomia rate and GDM rate were both zero,and cesarean section rate was 26.78%;for the normal weight group,GDM rate was 7.11%,the maerosomia rate was 4.74%,and the ce- sarean section rate was 37.54%;for the overweight group,GDM rate was 14.28%,the macrosomia rate was 7.94%,and the cesarean section rate was 54.76%;for the obesity group,the GDM rate was 24.39%,the macrosomia rate was 24.39%,and the cesarean section rate was 60.97%.Based on classification in accord with the weight gain during pregnancy,the GDM rate,maerosomia rate and cesarean section rate of the groups with excessive-gain during pregnancy were significantly higher than those with normal-gain and deficient-gain （P〈0.05）.For deficient-gaingroup,the GDM rate was 3.33%,the macrosomia rate was 1.67%,and the cesarean section rate was 30.00%;for normalgain group,the GDM rate was 6.33%, the maerosomia rate was 6.00%,and the cesarean section rate was 40.33%;for excess
出处
《中国当代医药》
2017年第35期62-64,共3页
China Modern Medicine
关键词
孕前体重指数
孕期增重
GDM
巨大儿
剖宫产率
Pregnancy BMI
Weight gain during pregnaney
Gestational diabetes mellitus
Macrosomia
Cesarean section rate
