孕期体质量管理对母婴体质量及妊娠结局的影响

发布时间：2018-11-22 10:28

【摘要】：目的探讨孕期体质量管理对母婴体质量及妊娠结局的影响。方法便利选取2014年1-6月首次在合肥市第一人民医院妇产科门诊确诊为早孕的557例妇女作为研究对象。在研究期限内,双月首次行产前检查且自愿接受孕期体质量管理的279例孕早期妇女为研究组,同期单月首次行产前检查的278例孕早期妇女为对照组(接受常规产前检查);两组产妇阴道分娩时均由助产士对母婴进行全面评估,符合条件者实施无创接生。比较两组研究对象的体质量增加值、新生儿体质量、分娩方式、妊娠及产后并发症的发生情况等。结果研究组孕妇孕期体质量增加、新生儿体质量及妊娠和产后并发症的发生率均低于对照组,剖宫产率及会阴切开率也低于对照组,差异均有统计学意义(均P0.05)。结论孕期进行体质量管理,能有效控制母婴体质量,减少妊娠及产后并发症的发生,对于改善孕产妇的妊娠结局具有十分重要的意义。
[Abstract]:Objective to investigate the effect of maternal body mass management on maternal body mass and pregnancy outcome. Methods from January to June 2014, 557 women who were diagnosed as early pregnancy in Department of Gynecology and Obstetrics Clinic of the first people's Hospital of Hefei for the first time were selected as study objects. During the study period, 279 pregnant women who first underwent prenatal examination and voluntarily received body mass management during pregnancy served as study group, while 278 early pregnant women who underwent prenatal examination for the first time in the same month served as the control group (receiving routine prenatal examination). Both groups were evaluated by midwives during vaginal delivery, and non-invasive delivery was carried out in accordance with the conditions. The body mass, body weight, delivery mode, pregnancy and postpartum complications were compared between the two groups. Results the weight of pregnant women in study group increased, the body weight of newborn and the incidence of pregnancy and postpartum complications in study group were lower than those in control group, and the rate of cesarean section and perineum incision were also lower than those in control group (P0.05). Conclusion body mass management during pregnancy can effectively control the body mass of mother and child and reduce the occurrence of pregnancy and postpartum complications, which is of great significance to improve the pregnancy outcome of pregnant women.
【作者单位】：合肥市第一人民医院产科;合肥市第一人民医院护理部;
【分类号】：R473.71

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