孕前及孕期体质量增加与产科并发症的关系分析

Analysis of relationship between obstetric complications and BMI before pregnancy and weight gain during pregnancy

目的探讨孕前及孕期体质量增加与产科并发症的关系。方法选取我院2014年1月至2016年7月收治的410例初产妇资料,按孕前BMI将其分为A组314例(BMI<23 kg/m^2)和B组96例(BMI≥23 kg/m^2);再根据孕期体质量增加分为<15 kg组(129例)、15~20 kg组(179例)和>20 kg组(102例),分别比较各组孕妇体质量与产科并发症(妊娠期高血压、妊娠期糖尿病、巨大儿及产程阻滞)的发生情况。结果 B组产科并发症的发生率显著高于A组(P<0.05);孕期体质量增加>20 kg组产科并发症的发生率显著高于15~20 kg组和<15 kg组(P<0.05),且15~20 kg组显著高于<15 kg组(P<0.05)。结论控制孕前及孕期体质量可降低产科并发症的发生率,改善妊娠结局。

Objective To study the relalionship between obslelric complicalions and BMI before pregnancy and weight gain during pregnancy. Methods Four hundred and len cases of primipara in our hospilal from January 2014 lo July 2016 were selected, which were divided into 314 cases in group A （ BMI〈23 kg/ m^2） and 96 cases in group B （BMI 逸23 kg/m^2） according lo lhe pre pregnancy BMI. All lhe pregnant woman were divided into 〈15 kg group （129 cases）, 15-20 kg group （179 cases） and 〉20 kg group （102 cases） according lo lhe weight gain during pregnancy. The weight of pregnant women with obslelric complicalions （geslalional hypertension, geslalional diabetes, macrosomia and birlh process block） occurrence were compared among lhe groups. Results The incidence of obslelric complicalions in group Bwas significantly higher than lhal in group A （P 〈0.05）. The incidence of obslelric complicalions of pregnancy weight gain of 〉20 kg group were significantly higher than lhal in 1 5 - 2 0 kg group and 〈15 kg group respectively （ P 〈0.05）, and 15 - 2 0 kg group was significantly higher than lhal of 〈15 kg group （ P 〈0.05）. Conclusion Control pre-pregnancy and geslalional weight can reduce lhe incidence of obslelric complicalions and improve pregnancy outcome.