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孕前体重指数及孕期体重增加对新生儿体重和分娩结局影响的临床观察

Clinical Observation of Effects of Prepregnancy Body Mass Index and Weight Gain during Pregnancy on Neonatal Weight and Delivery Outcome.

作者信息

Jin Yan, Dai Xiwang, Wang Nan, Hu Yaowei, Quan Limei, Zhu Shuli

机构信息

Department of Gynaecology and Obstetrics, Jinhua People's Hospital, No. 267, Danxi East Road, Jindong District, Jinhua, Zhejiang 321000, China.

出版信息

Evid Based Complement Alternat Med. 2021 Sep 24;2021:8323189. doi: 10.1155/2021/8323189. eCollection 2021.

Abstract

. The increase of BMI before pregnancy and during pregnancy will lead to hypertensive disorder in pregnancy (HDP) and abnormal glycolipid metabolism, as well as increase the risk of neonatal weight abnormalities and adverse pregnancy outcome. This study retrospectively analyzed the clinical data of 358 women who were admitted to the obstetrics department of our hospital from January 2018 to July 2019. And the relationship between prepregnancy BMI, BMI increase during pregnancy and delivery methods, postpartum hemorrhage, neonatal weight, premature delivery, neonatal asphyxia, gestational diabetes mellitus (GDM), and hypertension during pregnancy (HDP) was observed and compared. The results show that both high BMI before pregnancy and excessive weight gain during pregnancy can lead to the incidence of abnormal birth weight and adverse birth outcome increase. Therefore, in order to reduce the incidence of neonatal weight abnormalities and adverse birth outcomes and to prevent the adverse effects during pregnancy and postpartum, clinically, obese women should be guided to eat according to reasonable diet and exercise to control their weight.

摘要

孕前及孕期体重指数(BMI)的增加会导致妊娠期高血压疾病(HDP)和糖脂代谢异常,同时增加新生儿体重异常及不良妊娠结局的风险。本研究回顾性分析了2018年1月至2019年7月我院产科收治的358例孕妇的临床资料,观察并比较孕前BMI、孕期BMI增加量与分娩方式、产后出血、新生儿体重、早产、新生儿窒息、妊娠期糖尿病(GDM)及妊娠期高血压(HDP)之间的关系。结果显示,孕前高BMI及孕期体重过度增加均会导致出生体重异常及不良出生结局的发生率增加。因此,为降低新生儿体重异常及不良出生结局的发生率,预防孕期及产后的不良影响,临床上应指导肥胖孕妇合理饮食并进行运动以控制体重。

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[Study on weight gain in different stages of pregnancy and pregnancy outcomes].[孕期不同阶段体重增加与妊娠结局的研究]
Zhonghua Yi Xue Za Zhi. 2018 May 22;98(19):1493-1497. doi: 10.3760/cma.j.issn.0376-2491.2018.19.008.

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