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目的探讨孕前体重指数(BMI)和孕期增重对妊娠结局产生的影响,获得最适宜增重范围,为孕期体重管理提供依据。方法选取2014年3月-2015年9月在清远地区医院(连州镇中心医院、清远市保健院、清远市中医院、清远市清城区医院、清远第二人民医院)系统定期产检及分娩的首次怀孕的初产妇10 563例为研究对象,根据孕前BMI值不同将其分为体重过低组、正常体重组和超重组与肥胖组,统计其孕期增重,并对妊娠并发症及妊娠结局作分析及描述性研究。结果超重组与肥胖组孕妇的妊娠并发症发生率高于体重过低组及正常体重组,差异有统计学意义(P<0.05)。清远地区孕期适宜增重12~17.8 kg。孕期内适当增重者并发症发生率较低。结论孕前BMI及孕期增重对围产期并发症及新生儿有重要影响,孕妇孕前适宜体重及孕期体重增长在适宜水平能降低孕妇及新生儿并发症的发生率,有积极的临床意义。
Objective To explore the effect of pre-pregnancy body mass index (BMI) and pregnancy weight gain on pregnancy outcome, and to obtain the most appropriate range of weight gain to provide basis for weight management during pregnancy. Methods From March 2014 to September 2015, we systematically inspected and delivered babies in Qingyuan District Hospital (Lianzhou Central Hospital, Qingyuan City Health Care Hospital, Qingyuan City Hospital of Traditional Chinese Medicine, Qingyuan District Qingyuan Hospital, Qingyuan Second People’s Hospital) The first pregnant primiparas 10 563 cases as the research object, according to different pre-pregnancy BMI value will be divided into underweight group, normal weight group and overweight group and obesity group, statistical weight gain during pregnancy, pregnancy complications and pregnancy outcomes For analysis and descriptive research. Results The incidence of pregnancy complications in overweight and obesity groups was significantly higher than that in underweight group and normal weight group (P <0.05). Qingyuan suitable for weight gain during pregnancy 12 ~ 17.8 kg. Appropriate weight gain during pregnancy, the complication rate is lower. Conclusion The pre-pregnancy BMI and weight gain during pregnancy have an important impact on perinatal complications and newborns. Pregnant women with appropriate body weight before pregnancy and body weight gain during pregnancy can reduce the incidence of complications of pregnant women and newborns at a suitable level, which has a positive clinical significance.