社区超重肥胖妇女提前干预对妊娠结局的影响

发布时间：2017-12-26 20:14

本文关键词：社区超重肥胖妇女提前干预对妊娠结局的影响　出处：《实用妇科内分泌杂志(电子版)》2016年09期 　论文类型：期刊论文

【摘要】：目的研究社区超重肥胖妇女提前干预对妊娠结局的影响。方法选取2 0 1 4年0 7月~2 0 1 6年0 6月在我院产检并分娩的单胎初产妇1 3 9例,其中对照组8 0例为早孕建卡时BMI≥24.0kg/m2超重肥胖孕妇,干预组59例为孕前6个月以上BMI≥24.0kg/m2超重肥胖育龄妇女,干预组自孕前至少6个月,即增加了中长期的提前干预管理,予强化专科健康教育、膳食营养指导、运动指导、行为咨询干预、体质量自我监测及追踪评价等,至建卡时BMI已改善。比较2组孕产妇分娩前体质量增长、妊娠期糖尿病、妊娠期高血压疾病、早产、剖宫产、产后出血、伤口愈合不良、巨大儿、新生儿窒息发生率的差异。结果上述相关数据比较,干预组发生率明显减少,差异有统计学意义(P0.05)。结论对社区超重肥胖妇女提前干预,有助于改善孕前BMI,控制孕期体质量过度增长,显著降低母儿不良妊娠结局的发生率。
[Abstract]:Objective to study the effect of early intervention on pregnancy outcome of overweight and obese women in the community. Methods single fetus in our hospital for check and delivery of primipara 139 cases in 2014 07 months ~2 016 years 06 months, including 80 cases in the control group when BMI = 24.0kg/m2 for early pregnancy Jianka overweight and obese pregnant women, 59 cases in the intervention group for pre pregnancy 6 months or more than 24.0kg/m2 BMI in overweight and obese women of childbearing age, pre pregnancy from the intervention group at least 6 months, an increase of early intervention in the management of long-term, to strengthen the training of health education, dietary guidance, exercise guidance, behavior intervention, advisory body mass self monitoring and tracking evaluation, to BMI cards have been improved. The difference between the 2 groups of maternal weight gain before birth, gestational diabetes mellitus, hypertensive disorder complicating pregnancy, premature delivery, cesarean section, postpartum hemorrhage, wound healing, macrosomia and asphyxia neonatorum were compared. Results compared with the above data, the incidence of intervention group was significantly reduced, and the difference was statistically significant (P0.05). Conclusion early intervention for overweight and obese women in the community can help improve the BMI before pregnancy, control the excessive growth of body weight during pregnancy, and significantly reduce the incidence of adverse pregnancy outcomes.
【作者单位】：江苏省南京市浦口医院妇产科;
【分类号】：R714.256
【正文快照】： 超重肥胖为全球性健康问题,超重肥胖妇女怀孕即为高危妊娠,可增加围生期母胎疾病的患病率和病死率;母亲肥胖且增加了子代儿童期肥胖症和成人期代谢紊乱综合征、糖尿病、高血压及心血管疾病等发病率。因此,控制孕前女性的肥胖、减少母婴并发症非常重要而关键[1]。为此,本研究对

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