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体重过轻女性的妊娠。孕期过程、结局及婴儿生长模式。

Pregnancy in the underweight woman. Course, outcome, and growth patterns of the infant.

作者信息

Edwards L E, Alton I R, Barrada M I, Hakanson E Y

出版信息

Am J Obstet Gynecol. 1979 Oct 1;135(3):297-302. doi: 10.1016/0002-9378(79)90693-8.

DOI:10.1016/0002-9378(79)90693-8
PMID:484616
Abstract

The obstetric performance and pregnancy outcome of 354 underweight patients were compared with matched control subjects of normal weight. The growth patterns of their infants were also compared. The underweight women had significantly higher rates of cardiac/respiratory problems, anemia, PROM, and endometritis but were less prone to develop pre-eclampsia. Prematurity and low Apgar scores were significantly more frequent in the infants of underweight women. There was no difference in the frequency of IUGR and in perinatal mortality rates. The mean birth weight of the infants of underweight women was 231 grams less than that of infants of control subjects. Underweight women, particularly if they were anemic, had a higher incidence of low-birth-weight infants despite adequate weight gain. AGA infants of underweight women were more likely to be below the twenty-fifth percentile for weight correlated with length by 12 months of age.

摘要

将354名体重过轻的患者的产科表现及妊娠结局与体重正常的匹配对照组进行比较。同时也比较了两组婴儿的生长模式。体重过轻的女性出现心脏/呼吸问题、贫血、胎膜早破和子宫内膜炎的比率显著更高,但患先兆子痫的倾向较小。体重过轻女性所生婴儿早产和阿氏评分低的情况明显更常见。宫内生长受限的发生率和围产儿死亡率没有差异。体重过轻女性所生婴儿的平均出生体重比对照组婴儿轻231克。体重过轻的女性,尤其是那些贫血的女性,尽管体重增加充足,但低体重儿的发生率更高。体重过轻女性的适于胎龄儿在12个月大时体重低于与身长相关的第25百分位数的可能性更大。

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