Mavalankar D V, Trivedi C C, Gray R H
N.H.L. Municipal Medical College, Ahmedabad.
Indian Pediatr. 1994 Oct;31(10):1205-12.
This paper explores the relationships between maternal weight, height and poor pregnancy outcome using a data set from a case-control study of low birth weight (LBW) and perinatal mortality in Ahmedabad, India. Maternal height and weights were compared between mothers of 611 perinatal deaths, 644 preterm-LBW, and 1465 normal birth weight controls as well as 617 small-for-gestational age (SGA) and 1851 appropriate-for-gestational-age (AGA) births. Weight and height were much lower in this population compared to western standards. Low weight and height were associated with increased risk of perinatal death, prematurity and SGA. After adjusting for confounders, maternal weight remained significantly associated with poor pregnancy outcomes, whereas height was only weakly associated. Attributable risk estimates show that low weight is a much more important contributor to poor outcome than low height. Improvement in maternal nutritional status could lead to substantial improvement in birth outcome in this population.
本文利用印度艾哈迈达巴德一项关于低出生体重（LBW）和围产期死亡率的病例对照研究数据集，探讨了母亲体重、身高与不良妊娠结局之间的关系。对611例围产期死亡母亲、644例早产低体重儿母亲、1465例正常出生体重对照母亲，以及617例小于胎龄儿（SGA）母亲和1851例适于胎龄儿（AGA）母亲的身高和体重进行了比较。与西方标准相比，该人群的体重和身高要低得多。低体重和低身高与围产期死亡、早产和小于胎龄儿风险增加有关。在对混杂因素进行调整后，母亲体重仍与不良妊娠结局显著相关，而身高仅与不良妊娠结局存在微弱关联。归因风险估计表明，低体重比低身高更易导致不良结局。改善母亲营养状况可使该人群的出生结局得到显著改善。
