妊娠体质量与娠妊结局关系.docVIP

妊娠体质量与娠妊结局关系 　　【摘要】 目的 探讨妊娠体质量与娠妊结局的关系。方法 将剖宫产及经阴道分娩的孕妇按孕周分为12个组进行对照，比较其在各孕周的BMI有无差别；经阴道分娩产妇中有产道撕伤与无撕伤者的BMI进行比较看有无差别；有产道撕伤者与无撕伤者按孕周分为12个组进行对照，比较其在各孕周的BMI有无差别；经阴道分娩产妇有阴道助产与自然分娩者进行BMI比较，研究两组有无差别；经阴道分娩产妇中行阴道助产与自然分娩者按孕周分为12个组进行对照，比较其在各孕周的BMI有无差别。结果 妊娠足月时行剖宫产者各孕周BMI均大于经阴道分娩者（P0．05）。结论 妊娠期特别是32~37周妊娠应加强体质量监控。高体质量孕妇应适当减少能量摄入，增加能量消耗。妊娠前体质量正常及妊娠期体质量增加正常，不仅可获得良好的妊娠过程和妊娠结局，而且对其远期健康及再次妊娠都是有益的。? 　　【关键词】妊娠；体质量；妊娠结局 　　 　　The relationship between maternal Body Mass Index and pregnancy outcome 　　 　　HAO Yun-hong.People’s Hospital of Zitong county， Sichuan Province 622150,China 　　? 　　【Abstract】 Objective To investigate the relationship between maternal Body Mass Index (BMI) and pregnancy outcome.Methods Both cesarean section and vagina delivery women are divided into 12 groups.The BMI is compared between gestational weeks; the BMI between vagina delivery women with or without obstetric canal tear are compared， vagina delivery women with or without obstetric canal tear are divided into 12 groups gestational weeks， the BMI is compared;the BMI between vagina delivery women with or without obstetric aid are compared， vagina delivery women with or without obstetric aid are divided into 12 groups by gestational weeks， the BMI is compared.Results The BMI of full pregnancy women with cesarean section is higher than vagina delivery women in all gestational weeks (P0．05).Conclusion The BMI inspection of gestational women especially in 32-37 weeks should be emphasized.Pregnant women with high BMI should reduce energy intake and increase consumption.Normal BMI in pre-pregnancy and pregnancy not only can result in good pregnant outcome， but also lead to a good next pregnancy and long term health.? 　　【Key words】Pregnancy ；Body Mass Index；Pregnancy outcome 　　 　　妊娠期体质量增加是孕期保健的内容之一，有人研究报道妊娠体质量与巨大儿、小样儿均有关系。本研究对200例有相对指征的剖宫产及196例经阴道分娩的孕妇各孕周BMI的比较，进行对照研究，现报告如下。 　　 　　1 资料与方法 　　 　　1．1 一般资料 收集1999年11月至2001年10月所有来院就诊的妊娠患者，足月妊娠经阴道分娩196例，因相对指症行剖宫产200例，孕妇年龄在21~35岁，两组均无妊娠合并症。 　　1．2 研究方法 ①将剖宫产及经阴