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1、孕前體重、孕期增重對(duì)新生兒出生體重的影響王燕①胡傳來②③張勤②陶興勇②安徽醫(yī)科大學(xué)公共衛(wèi)生學(xué)院(安徽合肥)230031【摘要】目的探討孕婦孕前體重、孕期增重對(duì)新生兒出生體重的影響。方法選取1419例單胎妊娠孕婦作為研究對(duì)象。問卷調(diào)查孕婦的基本情況,定期產(chǎn)前檢查時(shí)記錄孕周并測(cè)量體重,隨訪研究對(duì)象妊娠結(jié)局。并采用LMS法分別建立孕婦不同孕前BMI組孕期不同周次增重的百分位數(shù)曲線。結(jié)果超重組孕婦的新生兒出生體重最高,正常組次之,低體重組最低,三組間的差異有統(tǒng)計(jì)學(xué)意義(p<0.05)。孕前BMI<18.5的低體重組孕婦小于胎齡兒的檢出
2、率要高于其他兩組的孕婦,差異有顯著統(tǒng)計(jì)學(xué)意義(p<0.05)。LMS曲線示三組孕母孕期體重增加呈逐漸上升趨勢(shì),孕早期三組體重增重甚少,孕中期體重增加小于孕晚期。孕前低體重組孕婦孕期總增重較正常體重組和超重組多。結(jié)論孕前體重和孕期增重與新生兒的出生體重有密切關(guān)系,應(yīng)采取有效措施進(jìn)行合理控制?!娟P(guān)鍵詞】孕前體重指數(shù)孕期增重出生體重Effectofpre-pregnancybodymassindexandincreaseamplitudesofgestationalbodyweightonbirthweightofneonateWA
3、NGYan,HUChuan-Lai,ZHANGQinetal.SchoolofPublicHealth,AnhuiMedicalUniversity,Hefei230031,Anhui,China【Abstract】ObjectiveToapproachtheeffectofincreaseamplitudesofpre-pregnancybodymassindex(BMI)andgestationalbodyweightonbirthweightofneonate.Method1425precipitouswomenofsi
4、nglepregnancywereselectedandmeasureaboutphysicalindexes,thepregnancyoutcomeswerefollowedup.Accordingtothebirthweightgroup,constructpercentilesofpregnancyweightgainindifferentweeksfor3groupsbyusingLMSmethod.ResultsThedifferenceofnewbornbirthweightofthreegroupsofpregn
5、antwomenwasstatisticallysignificant,andthenewbornbirthweightofoverweightpregnantwomenisthehighest;Neonatebirthweightofnormalweightpregnantwomenishigherthanlowweightpregnant①碩士研究生②安徽醫(yī)科大學(xué)公共衛(wèi)生學(xué)院③通訊作者women.Qualitativeinvestigationdiscoveredthatthenewbornofpregnantwomenw
6、hosetotalpregnancyweightgainmorethan18kgwithahigherdetectionrateofLGA.LMScurveshowsagradualupwardtrendofthethreegroupsduringpregnancy,weightgainisverylittleduringearlypregnancy.Weightgainofpregnantwomenwithlowweightgroupisthehighestduringpregnancy.ConclusionsMaterna
7、lpre-pregnancyweightandweightgainduringpregnancymayhaveinfluenceonthebirthweightofnewborns,andshouldtakereasonablecontrolmeasures.【Keywords】Pre-pregnancybodymassindex;Weightgainduringpregnancy;Birthweight妊娠期由于孕婦本身的生理變化和胎兒生長(zhǎng)發(fā)育的需要而使得代謝的需求也增加,孕婦的營(yíng)養(yǎng)狀況及體重的增加直接影響到了胎兒的生長(zhǎng)發(fā)育
8、和孕婦自身的健康。出生體重是反映胎兒生長(zhǎng)發(fā)育狀況的最主要指標(biāo)之一,根據(jù)同孕齡的胎兒出生體重判斷胎兒宮內(nèi)生長(zhǎng)發(fā)育狀況是較為全面的。本研究旨在探討孕前體重指數(shù)對(duì)新生兒出生體重的影響及孕期不同孕周體重增長(zhǎng)特點(diǎn),為提高圍期母嬰健康提供依據(jù)。1對(duì)象與方法1.1研究對(duì)象選擇2008年1月