孕前体重指数及孕期体重增加对新生儿出生体重影响.docVIP

孕前体重指数及孕期体重增加对新生儿出生体重的影响 【摘要】目的：探讨孕前体重指数及孕期体重增加对新生儿出生体重的影响。方法：选择2012年1月至2012年8月期间于我院分娩的688例足月单胎产妇做为研究对象，记录其孕前体重指数（BMI），孕期体重增加情况及新生儿出生体重，按照孕前BMI及孕期体重增加情况分组，比较各组间新生儿出生体重的差异；按孕前BMI分组绘制折线图，观察巨大儿及低出生体重儿发生率的变化趋势。结果：孕前高体重组新生儿出生体重明显高于低体重组与理想体重组（P＜0.01，P＜0.05），而BMI低体重组与理想体重组之间差异无统计学意义（P=0.074），；与孕期体重增长＜15kg组及15kg－he effect of increasing pre-pregnancy body mass index and weight during pregnancy on neonatal birth weight [Abstract] Objective：To analyze the effect of increasing pre-pregnancy body mass index and weight during pregnancy on neonatal birth weight . Methods: From January 2012 to August 2012, 688 cases of pregnancy women giving birth to a single baby for the first time were recruited into the study. The pre-pregnancy body mass index (BMI), weight during pregnancy and neonatal birth weight were recorded to analyze the effect of increasing pre-pregnancy body mass index and weight during pregnancy on neonatal birth weight. Results: The neonatal birth weight had no difference between low body and ideal body weight(P=0.074), and high body weight was significantly higher than that of low body and ideal weight group about neonatal birth weight (P 0.01, P 0.05); The neonatal birth weight on pregnancy weight growth of ≥ 25kg group increased significantly than 15kg group and 15kg~25kg group (P 0.05), while the two group was no difference between the neonatal birth weight (P=0.973). Conclusion: Pre-pregnancy body mass index and weight during pregnancy should be reasonable control in order to reduce the incidence of low birth weight and macrosomia. Keywords: Pre-pregnancy body mass index; Weight gain during pregnancy; Neonatal birth weight 如何将新生儿出生体重控制在正常范围，降低巨大儿及低体重儿的发生率从是围产期保健的重点内容之一。目前，越来越多的学者关注新生儿出生体重的直接或间接影响因素，而孕前体重指数及孕期体重增加情况变成研究热点，孕前体重指数及孕期体重增加是否与新生儿的出生体重有绝对的关系仍存在争议，本研究选择688例足月单胎孕产妇，按孕前体重指数及孕期体重增加情况的不同进行分组，并绘制曲线图，从而分析其对新生儿出生体重的影响。 资料与方法 1.1 临床资料 选取2012年1月至2012年8月期间于我院分娩的688例孕产妇，孕妇年龄20-39岁，平均年龄29.78岁，其中经阴道分娩391例，剖宫产297例； 孕前体重为早孕期间（妊娠13周）的最初测量为准，分娩前体重以产前1--2周测量为