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肥胖孕妇妊娠结局的临床分析
引用本文:董丽宏,金子环,王淑娟.肥胖孕妇妊娠结局的临床分析[J].中国妇幼保健,2007,22(16):2183-2184.
作者姓名:董丽宏  金子环  王淑娟
作者单位:华北煤炭医学院附属医院产科,河北,唐山,063000
摘    要:目的:探讨孕妇肥胖对分娩方式及围产儿结局的影响。方法:选取2004年1月~2005年1月在华北煤炭医学院附属医院进行产前检查并分娩的单胎初产妇224例,根据孕妇孕前体重指数(BMI)及孕期体重增加量分为3组,孕前BMI≥25者36例为孕前肥胖组;孕前BMI在17~24之间,孕期体重增加≥15 kg者150例为孕期体重过度增加组;孕前BMI在17~24之间,孕期体重增加<15 kg者38例为正常组。探讨各组的剖宫产率、巨大儿率及出现产科合并症的情况。结果:孕前肥胖组及孕期体重过度增加组孕妇的剖宫产率、巨大儿率明显高于正常组(P<0.05)。结论:加强围产期保健,避免肥胖,可减少母婴并发症。

关 键 词:孕妇  肥胖  体重增加  巨大儿  剖宫产  妊娠结局
文章编号:1001-4411(2007)16-2183-02
修稿时间:2006-02-25

Clinical analysis of the relationship between obesity and outcome of pregnancy
DONG Li-Hong,JIN Zi-Huan,WANG Shu-Juan.Clinical analysis of the relationship between obesity and outcome of pregnancy[J].Maternal and Child Health Care of China,2007,22(16):2183-2184.
Authors:DONG Li-Hong  JIN Zi-Huan  WANG Shu-Juan
Abstract:Objective:To investigate pregnant outcome of pregnant women with obesity.Methods:According to prepregnant BMI and weight gain during pregnancy in this hospital during 2004.1~2005.1 were divided into three groups: prepregnant obesity group(BMI of prepregnant≥25) 36 cases;pregnant weight gain seriously group and normal group to investigate cesarean section rate,fetal macrosomia and obsteric complication of the three groups respectively.Results:The cesarean section rate and fetal macrosomia were obviously higher in the former two groups(P<0.05).Conclusion:To improve the perinatal periods health care and avoid weightover can decrease the occurrence of the mother and infant complications.
Keywords:Pregnant women  Obesity  Weight gain  Fetal macrosomia  Cesarean section rate
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