自我管理教育对超重孕妇体重管理的影响

The Effect of Self-management Education to the Weight Management of Overweight Pregnant Women

目的探讨自我管理教育对超重孕妇的体重管理和妊娠结局的影响。方法将101名超重孕妇用随机数字法分为对照组和观察组,其中观察组51名,对照组50名。对照组采用常规指导,观察组在常规指导的基础上进行自我管理教育,比较两组孕期体重指数变化(ΔBMI)、妊娠合并症、剖宫产率以及巨大儿的出生率。结果观察组孕期ΔBMI、妊娠合并症、剖宫产率、巨大儿出生率明显低于对照组,差异有统计学意义(P<0.05)。结论孕期自我管理教育能够提高超重孕妇体重管理的能力,从而降低妊娠合并症、剖宫产率和巨大儿的出生率。

Objective The effect of self-management education to the weight management of overweight pregnant women was discussed. Methods 101 cases of pregnant women were randomly divided into observation group and the control group, with 51 cases in observation group and 50 cases in control group. The control group took the routine health education, and the observation group took the self-management education on the basic of control group, the values of ΔIBM, complication of pregnancy, cesarean section rate and fetal macrosomia birthrate were compared. Results The values of ΔBMI, complication of pregnancy, cesarean section rate and fetal macrosomia birthrate in observation group were significantly lower than those in control group（P〈0.05）. Conclusion Self-management education of pregnant women could help to enhance their ability of weight management, thus the complication of pregnancy, cesarean section rate and fetal macrosomia birthrate could be reduced.