孕前超重、肥胖与妊娠期高血压疾病及母婴妊娠结局的分析

The clinical analysis for rre-pregnancy overweight,gestational hypertension and the outcome of maternal and child after pregnancy

目的:研究孕前超重/肥胖与妊娠期高血压疾病及母婴妊娠结局的关系。方法:选取2015-06~2016-08到佳木斯大学附属第一医院分娩的产妇780例。回顾性分析产妇的基本临床资料,探讨孕前超重/肥胖与妊娠期高血压疾病及妊娠结局的相关性。按照产妇孕前体质指数由低到高分为低体重组,正常组,超重组,肥胖组。结果:孕前超重/肥胖与妊娠期高血压疾病成正相关。且与正常组相比孕前超重/肥胖产妇妊娠期糖尿病,胎膜早破,产后出血率及巨大儿发生率均高,差异具有统计学意义(P<0.05)。结论:孕前超重/肥胖与妊娠期高血压疾病呈正比,不同的孕前高体质指数会不同程度的影响母婴的妊娠结局。因此,做好孕前优生检查,因人而异制定合理的饮食及运动计划,控制孕前体重,对降低妊娠期高血压疾病及不良妊娠结局具有临床指导作用。

Objective:To investigate the relationship among pre-pregnancy body mass index(BMI),gestational hypertension and the outcome of maternal and child after pregnancy.Methods:Between June 2015 and August 2016,780 cases of pregnant women from first affiliated hospital of Jiamusi university were selected.A retrospective analysis of clinical data for pregnant women was done.According to BMI,patients were divided into underweight,normal,overweight and obese groups.The relationship among pre-pregnancy BMI,hypertension in pregnancy,and the outcome of maternal and child after pregnancy was statistically analyzed.Results:Pre-pregnancy BMI and hypertension in pregnancy had positive correlation,and was closely associated with increased risk of gestational diabetes,premature rupture of membranes,abruption placenta,preterm birth,cesarean delivery,postpartum hemorrhage and macrosomia.The index of obesity group was significantly higher than overweight group,and the difference was statistically significant(P<0.05).Conclusions:Higher BMI before pregnancy and hypertension during pregnancy were positively correlated each other.High BMI in each group was associated with various degree of adverse pregnancy outcome.Preventive intervention for pre-pregnancy obesity should focus on pre-pregnancy checkup,diet and lifestyle modification to reduce hypertensive disorders in pregnancy and adverse pregnancy outcomes.