摘要
目的探讨分析孕前及孕期保健是否对新生儿出生体重产生影响。方法本研究选取2012年1月至2016年2月在我站进行过孕前及孕期保健的1 200例孕产妇作为研究对象,采用我站自拟的调查问卷进行调查,调查问卷的内容涉及产妇基本信息,孕前与孕期的保健情况,孕期是否合并有并发症等相关信息,同时对胎儿体重进行记录。采用单因素及Logistic回归分析并探讨孕前及孕期保健是否对新生儿出生体重产生影响。结果新生儿体重异常发生率为14.4%;单因素分析表明:年龄、产次、孕周、孕前BMI、孕前检查、孕前健康咨询、孕前有吸烟饮酒行为及有害物质接触史、孕期营养不良及妊娠期糖尿病均与新生儿体重异常相关;多因素Logistic回归分析表明:孕周<37周、孕前BMI<18.6或>28、孕前有吸烟饮酒行为及有害物质接触史和孕期营养不良为新生儿体重异常的危险因素;孕前进行健康咨询为保护因素。结论新生儿体重受多种因素的影响,对于孕期及计划怀孕的孕妇应做好产前保健及检查、保健及孕期监测,以降低新生儿体重异常的发生率。
Objective To explore whether preconception and antenatal care could make a difference to newborn birth weight. Methods One thousand and two hundred cases of pregnant and postnatal women from January 2012 to February2016 in our hospital were selected. The general data, condition of preconception and antenatal care, whether there would be complications of the cases were investigated with self-designed questionnaire. Meanwhile, the newborn birth weight was recorded. The influence of preconception and antenatal care was compared by multiple logistic analyses. Results The recurrence rate of abnormal weight was 14.4%. Univariate analysis found that age, parity, gestational weeks, pre-pregnancy BMI, pre-pregnancy checks, pre-pregnancy health consultation, smoking drinking behavior at pre-pregnancy, deleterious substance contact history, malnourished in pregnant, gestational diabetes mellitus was related to newborn birth weight.Multiple logistic analysis shows, the risk factors of abnormal weight was gestational weeks <37week, pre-pregnancy BMI <18.6 or 28, smoking behavior at pre-pregnancy, deleterious substance contact history and malnourished in pregnant.Protective factor was taken health consultation pre-pregnancy. Conclusion Newborn birth weight is affected by many factors. Preconception care, antenatal care and pregnant examination should be taken for pregnant women and people getting pregnant to reduce the occurrence rate of abnormal weight.
出处
《临床医学研究与实践》
2016年第18期108-109,共2页
Clinical Research and Practice
关键词
新生儿
低体重
巨大儿
孕前保健
孕期保健
newborn
underweight
fetal macrosomia
preconception care
antenatal care
