孕期体重管理对妊娠的影响

目的：了解孕期体重管理对妊娠的影响。方法：选取2012年1月-2013年12月在本院门诊接受产检的孕周〈13周的700例初产单胎孕妇作为研究对象,按照随机数字表法将其分为对照组346例和观察组354例。两组分别给予常规干预、孕期体重规划干预及健康教育,观察比较两组产妇的孕期BMI值、妊娠期及分娩期并发症、新生儿出生情况等的差异。结果：观察组在孕周期中24周、32周、38周的BMI值分别为（20.64±1.41）kg/m^2、（22.25±2.14）kg/m^2、（25.49±2.76）kg/m^2,均明显低于对照组（t=26.030、20.581、17.097,P〈0.05）。观察组的妊娠期糖尿病、妊娠期高血压疾病、产后出血、产褥感染等并发症发生率均明显低于对照组（χ^2=7.556、7.525、8.496、6.808,P〈0.05）。观察组新生儿的Apgar评分（7.84±1.26）分明显高于对照组（P〈0.05）,且新生儿窒息、足月低体重儿发生率均明显低于对照组（P〈0.05）。结论：孕期体重规划干预及健康教育可以有效控制孕妇的BMI值,降低妊娠期并发症及新生儿并发症的发生率,具有积极的临床意义和广阔前景。

Influence of Gestational Weight Management on Pregnancy

Objective：To investigate the influence of gestational weight management on pregnancy.Method：700 primiparous singleton pregnant woman who accepted prenatal check and gestational age〈13 weeks in our hospital outpatient were as the research subjects from January 2012 to December 2013,they were randomly divided into the control group for 346 cases and the observation group for 354 cases according to the random number table method.The two groups were given conventional intervention,weight planning intervention during pregnancy and health education.The differences of maternal BMI,pregnancy and childbirth complications,the situations of neonates between the two groups were observed and compared.Result：The BMI of 24 weeks,32 weeks and 38 weeks in gestational period of the observation group respectively were（20.64±1.41）kg/m^2,（22.25±2.14）kg/m^2,（25.49±2.76）kg/m^2,they were significantly lower than the control group（t=26.030,20.581,17.097,P〈0.05）.The gestational diabetes mellitus,hypertension during pregnancy,postpartum hemorrhage,puerperal infection in the observation group were significantly lower than those in the control group（χ^2=7.556,7.525,8.496,6.808,P〈0.05）.Apgar score of newborns in the observation group was（7.84±1.26）, it was significantly higher than the control group（P〈0.05）.The incidence of neonatal asphyxia,low birth weight infant in the observation group were significantly lower than those in the control group（P〈0.05）.Conclusion：The weight planning intervention and health education during pregnancy can effectively control maternal BMI,reduce the incidence of pregnancy complications and neonatal complications,which has a positive clinical significance and broad prospect.