孕期肥胖与妊娠并发症及分娩结局的关系

目的 探讨孕期肥胖与妊娠并发症及分娩结局的关系。方法测量586例足月单胎初产妇的身高、体重和孕期体重增长情况，如早孕期体重指数（BMI）≥24。分娩时BMI≥27则为肥胖。观察肥胖孕妇的妊娠并发症、分娩方式、产程以及产后出血、新生儿窒息、巨大儿发生情况。结果①孕期肥胖的妇女妊娠期糖尿病、妊娠高血压疾病以及产后出血产褥期感染的发生率与对照组比较差异有统计学意义；②孕期肥胖的孕妇总产程、产程异常发生率、剖宫产率、阴道助产率、巨大儿和新生儿死亡、窒息的发生率与时照组相比差异有统计学意义。结论孕期肥胖导致妊娠并发症增加，产程延长和手术产率增加。

Relationship between pregnancy obesity and pregnancy complications and childbirth results

Objective To investigate the relationship between pregnancy obesity and pregnancy complications and childbirth results. Methods Five hundred and eighty - six eases of full - term single births about primipara＇ s height, weight and weigh gain during pregnancy, such as early pregnancy BMI≥24. Childbirth BMI ≥27 for obesity. Observe the pregnancy complications, delivery, mode, birth process and post - partum haemorrhage of the obese pregnant women, along with neonatal asphyxia and macrosomia occurrence. Results ①Obese women during pregnancy with gestational diabetes mellitus, pregnancy - induced hypertension disease, as well as postpartum hemorrhage incidence of puerperal infection compared with the control group there was significant difference. ②The total birth process of obese pregnant women, the incidence of abnormal birth process, cesarean section rate, vaginal birth rate, macrosomia and neonatal deaths, and the incidence of asphyxia are of significant differences. Conclusions pregnancy obesity may lead to increased pregnancy complications, the extension of birth process and the increase of yield surgery.