[1]王禾*,唐含蜜,张莉.孕期体重管理的效果研究[J].中国计划生育和妇产科,2018,(１):70-72.
　WANG He*,TANG Han -mi,ZHANG Li.Effect of pregnancy weight management[J].Chinese Journal of Family Planning & Gynecotokology,2018,(１):70-72.
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孕期体重管理的效果研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年１期
页码:
70-72
栏目:
论著与临床
出版日期:
2018-01-25

文章信息/Info

Title:
Effect of pregnancy weight management
作者:
王禾*; 唐含蜜; 张莉
绵阳市妇幼保健计划生育服务中心妇女保健科
Author(s):
WANG He*;  TANG Han -mi; ZHANG Li
Department of Women Health, Mianyang Maternal and Child Health Family Planning Service Center, Mianyang Sichuan 621000，P.R.China
关键词:
孕期体重管理; 孕期并发症; 妊娠结局
Keywords:
pregnancy weight management; complications during pregnancy; pregnancy outcome
分类号:
R 71425
摘要:
目的探讨孕期体重管理对促进孕期体重合理增长的作用和对妊娠结局的影响。方法回顾性分析2014年5月至2015年5月在绵阳市妇幼保健计划生育服务中心定期产检、进行了个性化体重管理的健康单胎孕妇1 000例，作为管理组，2013年4月至2014年4月未进行个体化体重管理的1 000例健康单胎孕妇作为对照组。比较两组孕期体重增长水平和孕期并发症及分娩结局。结果管理组体重增长正常率920 %，控制程度明显优于对照组753 %。管理组孕妇妊娠期高血压疾病、妊娠期糖尿病、巨大儿、产后出血、产褥感染和非选择性剖宫产的发生率（53 %、82 %、72 %、23 %、32 %、217 %）均低于对照组（76 %、136 %、125 %、47 %、51 %、369 %），差异有统计学意义(P<005)。结论针对孕妇个体情况进行体重管理可以有效控制孕期体重合理增长，减少孕期并发症，改善妊娠结局。
Abstract:
ObjectiveTo explore the effect of weight management during pregnancy on the promotion of reasonable growth of body weight in pregnancy and its effect on pregnancy outcome. MethodsA retrospective study was conducted，1000 healthy singleton pregnant women with regular weight management at Mianyang Maternal and Child Health Family Planning Service Center from May 2014 to May 2015 were selected as management group, and 1000 healthy singleton pregnant women without regular weight management from April 2013 to April 2014 were selected as control group. The weight gain during pregnancy and pregnancy complications and delivery outcomes were compared between the two groups. ResultsThe normal rate of weight gain in management group was 92 %, and the degree of control was obviously better than that of control group(753 %). The incidence of gestational hypertension, gestational diabetes, macrosomia, postpartum hemorrhage, puerperal infection, and non-selective cesarean section in the management group( 53 %, 82 %, 72 %, 23 %, 32 %, 217 %) were significantly lower than the control group(76 %, 136 %, 125 %, 47 %, 51 %, 369 %), the differences were statistically significant (P<005).ConclusionIndividual weight management for pregnant women can effectively control the reasonable growth during pregnancy, reduce the complications during pregnancy and improve the pregnancy outcome.

参考文献/References:

［1］涂红星．孕期体重管理对控制足月新生儿体重及妊娠结局的影响 ［J］．中国妇幼保健，2013，28（16）：2658-2660． ［2］戴红艳．孕妇体重变化对新生儿出生体重的影响 ［J］．中国妇幼保健，2012，27（30）：4824-4825． ［3］Rasmussen KM, Yaktine AL Weight gain during pregnancy: reexamining the guidelines ［M］Washington (DC):National Academies Press (US),2009. ［4］宜小如，毛学群．孕期前体重指数及孕期体重增长对妊娠结局的影响 ［J］．中国妇幼保健，2008，23（11）：1496-1497． ［5］Retnakaran R, YE Chang, Hanley AJ, et al. Effect of maternal weight, adipokines, glucose intolerance and lipids on infant birth weight among women without gestational diabetes mellitus［J］. CMAJ, 2012, 184(12): 1353-1360. ［6］梁迪．巨大儿发生及分娩方式对妊娠结局的影响观察 ［J］．人民军医，2014，57（10）：1104-1106．

更新日期/Last Update: 2018-01-25