实用妇产科杂志2017，Vol.33Issue(6)：453-458,6.
孕妇体质量及其他因素与分娩巨大儿的相关性研究
The Relationship of Macrosomia to Body Mass and Other Factors
摘要
Abstract
Objective:To study the relationship of macrosomia to pre-pregnancy body mass index,gestational weight gain and other factors.At the same time,providing guidance for macrosomia prevention.Methods:10044 cases of pregnant women in the West China Second University Hospital from January 1,2013 to December 31,2014,were enrolled in this study.There were 466 cases of macrosomia and non-macrosomia 9578 cases.Logistics regression was used to analyze the correlation of macrosomia to gestational weight gain and other factors (gestational diabetes mellitus,history of macrosomia and multiple pregnancy),meanwhile to analyze the correlation of macrosomia with different BMI.Results:①pre-pregnancy body mass index,gestational weight gain,GDM and the history of macrosomia were independent risk factors of macrosomia(P ＜ 0.05).Multiple pregnancy may decrease the incidence of macrosomia(P ＜ 0.05).②According to the BMI layer,for pre-pregnancy BMI normal women,low weight gain and multiple pregnancy may decrease the incidence of macrosomia (P ＜ 0.05),gestational weight gain,excessive weight gain and the history of macrosomia were independent risk factors of macrosomia(P ＜0.05);for pre-pregnancy BMI underweight women,gestational weight gain and excessive weight gain were independent risk factors of macrosomia(P ＜ 0.05);for pre-pregnancy BMI overweight women,gestational weight gain and GDM were independent risk factors of macrosomia(P ＜0.05).Conclusions:High pre-pregnancy BMI,excessive weight gain,gestational diabetes and history of macrosomia delivery increased risk of macrosomia.Differet pre-pregnancy BMI women have different risk factors of macrosomia.Excessive weight gain can improve the incidence of macrosomia,especially for pre-pregnancy BMI underweight and normal women.关键词
巨大儿/孕前体质量指数/孕期体质量增长/多胎妊娠Key words
Macrosomia/Pre-pregnancy BMI/Gestational weight gain/Multiple pregnancy分类
医药卫生引用本文复制引用
史琳,陈鹏,杨红梅,刘兴会..孕妇体质量及其他因素与分娩巨大儿的相关性研究[J].实用妇产科杂志,2017,33(6):453-458,6.基金项目
四川省科技厅科技支撑项目(编号:2013SZ0004) （编号:2013SZ0004）
