孕前体重_孕期体重增长与妊娠结局的关系_彭敏.pdfVIP

# 1770# 2010 25 彭 敏 吴雪春 孙国强 430070 R173 A 1001-4411 (2010) 13-1770-03 = : : 732 ( BM I) (v BM I) : BM I BM I; BM I BM I; BM I BM I BM I, v BM I 6v BM I= 4~ 6; v BM I 4 v BM I= 4~ 6: , = Relationship between pregestational body weight , weight gain during pregnancy and pregnancy outcome PENG M in, WUX ue-Chun, SUN Guo-Q iang 1D epartment of Obstetrics, M aternal an Chil H ealthH osp ital of H ubei, Wuhan 430070, H ubei, China 1Abstract2 bjective: To study the effect of body ass index ( BM I) changes before and during pregnancy on pregnancy outco e1M ethods: The effectsofpregestationalBM I and increasing range ofbodyweight index (v BM I) during thewhole pregnancy in 732 pregnantwo en on pregnancy outco ewere analyzed1Results: The incidence of hypertensive disorder co plicating pregnancy (HDCP) in high BM I groupwas significantly higher than that in nor alBM Igroup; the incidence of placentaldysfunction in low BM Igroupwas signif-i cantly higher than that in nor alBM Igroup; the incidences of abnor alglucose etabolis and rates of cesarean section in low BM I group and high BM I groupwere significantly higher than those in nor alBM Igroup1The incidences ofHDCP, abnor al glucose etabolis , ac- roso ia and rate of cesarean section inv BM I 6 group were significantly higher than those in v BM I= 4~ 6 group; the incidences of pla- centaldysfunction and preter delivery in v BM I 4 groupwere significantly higher than those in v BM I= 4~ 6 group1 Conclusion: Pre- gestationalBM I and BM I changes duringpregnancy affectpregnancy outco e significantly, nutrition consulting andweight controlbefore and during pregnancy are necessary1 1Keywords2 Body ass weight; Increase ofweight; Pregnancy outco e ,