孕期体重管理干预对妊娠结局及新生儿状况的影响

Influence of gestational weight management on pregnancy outcomes and neonatal conditions

目的分析运用不同的孕期体重管理干预方法对妊娠结局和新生儿的影响,为以后进一步有效地开展孕期保健工作提供依据。方法选取2013年1—6月期间,孕12周内在永康市妇幼保健院产检中心建卡,做定期产检的单胎妊娠的孕妇为研究对象,随机分为研究组和对照组各500例,前瞻性研究采用不同的体重管理干预方法对2组孕妇结局和新生儿状况的影响。结果研究组妊娠期糖尿病发病率、剖宫产率、产后出血发生率、巨大儿发生率、新生儿窒息发生率均较对照组明显下降,差异具有统计学意义(P<0.05);2组孕妇在妊娠期高血压疾病发病率、早产发生率、低体重儿发生率、畸形儿发生率之间差异无统计学意义(P>0.05)。结论在孕期进行体重管理时合理的运用一些体重管理工具,可更加有效地控制体重的不合理增长,改善不良妊娠结局。

Objective To analyze the influence of different methods of gestational weight interventions on pregnancy out- comes and neonatal conditions to improve future pregnancy care. Methods A total of 1000 12-week pregnant women with singleton pregnancies who filed for check and received regular prenatal examination in the hospital from January 2013 to June 2013 were analyzed, and they were randomly divided into study group and control group. A prospective study was car- ried out to survey the influence of different weight interventions on the outcomes of pregnant women and neonatal condi- tions. Results When compared with the control group, the incidence of gestational diabetes, cesarean section, postpartum hemorrhage, maerosomia, neonatal asphyxia of the study group were significantly decreased, and the difference was statisti- cally significant（ P 〈 0. 05 ） ;No significant differences（ P 〉 0.05 ） were found between the two groups of pregnant women in the incidence of hypertensive disorders in pregnancy, preterm birth, low birth weight and congenital malformation. Conclusion The rational weight management methods during pregnancy can effectively control unreasonable weight gain and reduce adverse pregnancy outcomes.