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饮食、运动指导对孕妇BMI与分娩方式的影响研究

发布时间:2019-07-06 15:59
【摘要】:目的探讨饮食、运动指导对孕妇分娩方式及体质量指数(BMI)的影响作用。方法选取2013年3月至2015年3月建卡后一直在东南大学附属江阴市人民医院产检及分娩的600例孕妇作为研究对象,其中300例接受饮食、运动指导及常规医嘱(指导组),另外300例仅接受常规医嘱指导(对照组),监测两组孕妇的BMI变化及分娩方式。结果孕第24周、36周、分娩时,指导组的BMI值均显著低于对照组(t值分别为2.598、3.729、4.041,均P0.05)。指导组的阴道顺产率为61.00%,显著的高于对照组的45.67%,差异具有统计学意义(χ2=14.17,P0.05),指导组的分娩孕周显著大于对照组,差异具有统计学意义(t=12.231,P0.05)。指导组的巨大儿、宫内窘迫、胎膜早破发生率均显著低于对照组,差异具有统计学意义(χ2值分别为11.395、5.172、11.527,均P0.05)。结论加强孕期饮食、运动指导有利于合理控制孕妇的体重增值、提高阴道顺产率、提高生育质量。
[Abstract]:Objective to investigate the effect of diet and exercise guidance on delivery mode and body mass index (BMI) of pregnant women. Methods from March 2013 to March 2015, 600 pregnant women who had been undergoing antenatal examination and delivery in Jiangyin people's Hospital affiliated to Southeast University were selected as subjects. Among them, 300 pregnant women received diet, exercise guidance and routine medical orders (guidance group), and the other 300 cases only received routine medical orders (control group). The changes of BMI and delivery mode of pregnant women in the two groups were monitored. Results the BMI values of the guidance group were significantly lower than those of the control group at the 24th week, 36th week of gestation and delivery (t = 2.598, 3.729, 4.041, P 0.05). The vaginal delivery rate in the guidance group was 61.00%, which was significantly higher than that in the control group (45.67%) (P < 0.05). The gestational age in the guidance group was significantly higher than that in the control group (t 鈮,

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