不同体重指数孕期体重增长指导的重要性

目的:总结目前该院正常产前检查(产检)的不同体重指数孕妇妊娠期体重增长的情况,并对其妊娠结局进行分析,指出根据不同体重指数进行正确体重增长指导的重要性。方法:对2009年1月～2010年1月在该院检查及分娩的2 557例孕妇进行分析,按孕妇孕前体重指数(BMI)进行分组,计算出不同组别的孕期体重增长值,并与2009年Institute of Medicine(IOM)体重增长指南进行比较,得出超出指南建议体重的比率,并随访妊娠结局。结果:四组孕妇体重超出指南建议的比率分别为38.36%、40.77%、65.36%、63.64%。这些孕妇与正常孕妇相比,剖宫产率、妊娠期糖尿病(GDM)、妊娠期高血压疾病(HDCP)、产后出血的发生率均升高,差异存在统计学意义(P<0.05)。结论:妊娠期提供正确的体重增长指导有着重要的意义,可以减少不良的妊娠结局,并可以减少妇女及后代肥胖症的发生。

Importance of guidance of body weight gain during pregnancy for the pregnant women with different body mass indexes

Objective:To summarize the conditions of body weight gain during pregnancy of the pregnant women with different body mass indexes who received normal prenatal examination in the hospital,analyze the pregnancy outcomes,point the importance of providing proper guidelines for body weight gain during pregnancy according to different body mass indexes.Methods:A total of 2 557 pregnant women who received prenatal examination and deliveried in the hospital from January 2009 to January 2010 were analyzed,then they were divided into different groups according to body mass index before pregnancy,the body weight gains during pregnancy in different groups were calculated,and the results were compared with weight gain guideline reversed by Institute of Medicine in 2009,the proportion of pregnant women with body weight above weight gain guideline was obtained,the pregnancy outcomes were followed up.Results:The proportion of pregnant women with body weight above weight gain guideline in the four groups were 38.36%,40.77%,65.36%,and 63.64%,respectively.The cesarean section rate,the incidences of gestational diabetes mellitus,hypertensive disorder complicating pregnancy,and postpartum hemorrhage in these pregnant women were significantly higher than those in normal pregnant women(P<0.05).Conclusion:Providing proper guidance of body weight gain during pregnancy has important significance,which can reduce the adverse pregnancy outcomes and the occurrence of obesity among the pregnant women and their offspring.