咸阳地区孕妇维持适宜体重对优化妊娠结局的分析

Advantage analysis of maintaining appropriate body weight to optimize pregnancy outcomes of maternity pregnant women

目的 :探讨孕期体重增长对妊娠的影响,得出较为理想的体重增长范畴(早期共增长1~2kg,孕中晚期,每周增长0.3~0.5kg,总增长10~12kg,肥胖孕妇增长7~9kg),从而为孕期体重管理提供依据。方法：选取2012年5月~2014年8月在咸阳地区医院(咸阳市第一人民医院、咸阳市中心医院、咸阳市妇幼保健院、咸阳市阳光妇产医院、咸阳丽人妇科医院)系统定期产检及分娩的足月健康孕妇10563例为研究对象,根据不同孕前Bmi将其分为低于标准体重组,标准体重组和高于标准体重组,统计其孕期体重增长,并对妊娠结局及并发症作分析性研究。结果:咸阳地区孕期适宜增重12~15kg。将不同体重组适宜增重数据具体写出,孕前低Bmi者发生并发症的风险及妊娠结局优于Bmi较高者,孕期体重增长理想者并发症的发生率较低。结论 :孕前Bmi及孕期增重对围产期并发症和新生儿情况有重要影响,孕妇孕前适宜体重及孕期体重增长在适宜水平能降低孕妇和新生儿并发症的发生率,有积极的临床意义。

Objective To discuss the effects of pregnancy body mass index (BMI) and gestational weight gain on pregnancy outcome, and study the most appropriate weight gain range, provides the basis for pregnancy weight management. Methods From May 2012 to August 2014, 10563 healthy mature puerperas went to the hospitals in Xianyang area hospital district for regular prenatal testing and delivery were selected as research objects, and divided them into low BMI group, normal BMI group and high BMI group according to their pre-pregnancy BMI. Weight gain during pregnancy and the pregnancy complications as well as pregnancy outcome were analyzed for analytical and descriptive research. Results women with lower BMI had lower risk of complications and the pregnancy outcome is better than those whose BMI were high, and lower complication rates were observed on women who got appropriate gestational weight gain. Conclusion Pregnancy BMI and weight gain during pregnancy have important effects on perinatal and neonatal complications; control the weight gain of pregnant women in the appropriate level can reduce the incidence rate of pregnant and newborn complications which has positive clinical significance.