Amadori Roberta, Melluzza Carmela, Motta Alessia, De Pedrini Alberto, Surico Daniela
Department of Obstetrics and Gynecology, University of Eastern Piedmont, Novara, Italy -
Department of Obstetrics and Gynecology, University of Eastern Piedmont, Novara, Italy.
Minerva Ginecol. 2019 Dec;71(6):427-433. doi: 10.23736/S0026-4784.19.04449-6.
Excessive weight gain (EWG) during pregnancy is associated to adverse maternal-fetal outcomes. The aim of this study was to analyze the situation in a single high intensity care center in Eastern Piedmont, north of Italy.
This is a cohort study including 715 patients classified into four classes corresponding to pregestational BMI values. Based on the WHO's weight gain for each class, women were subdivided into three groups: inadequate, adequate and excessive increase.
EWG was significant in overweight (43.9%) and obese women (37.3%). There was a significant correlation with gestational diabetes (P=0.046), hypertension (P=0.0001), preterm birth (P=0.047), intake of antihypertensive drugs (P=0.0001), maternal study degree (P=0.005), profession (P=0.015), civil status (P=0.003), parity (P=0.039) and paternal ethnicity (P=0.027). Participation at antenatal education for childbirth (AEC) had a positive impact leading to an appropriate weight gain (P=0.004).
If adequately counselled, women understand the consequences of excessive weight gain during pregnancy, comply more to therapy and modify their lifestyle.
孕期体重过度增加（EWG）与不良母婴结局相关。本研究旨在分析意大利北部皮埃蒙特大区一家单一的高强度护理中心的情况。
这是一项队列研究，纳入715名患者，根据孕前体重指数（BMI）值分为四类。根据世界卫生组织（WHO）为每类设定的体重增加标准，将女性分为三组：增加不足、增加适当和增加过多。
超重女性（43.9%）和肥胖女性（37.3%）的EWG情况显著。EWG与妊娠期糖尿病（P = 0.046）、高血压（P = 0.0001）、早产（P = 0.047）、服用降压药（P = 0.0001）、母亲学历（P = 0.005）、职业（P = 0.015）、婚姻状况（P = 0.003）、产次（P = 0.039）和父亲种族（P = 0.027）存在显著相关性。参加产前分娩教育（AEC）有积极影响，可导致体重适当增加（P = 0.004）。
如果得到充分的咨询，女性会了解孕期体重过度增加的后果，更遵守治疗方案并改变生活方式。
