浙江医学2018，Vol.40Issue(2)：112-115,4.DOI:10.12056/j.issn.1006-2785.2018.40.2.2017-2146
胎龄别出生体重相关因素分析
Factors related to birth weight for gestational age
摘要
Abstract
Objective To analyze the factors related to birth weight for gestational age.Methods Total 693 pregnant mothers and their 716 newborns were enrolled in the study.The age,height,weight and pregnancy details of parents were collected by questionnaire.The birth information of the newborn was completed by obstetricians,including parity,gestational age,birth weight,number of fetus and gender.According to the gestational age and birth weight,the newborns were divided into small for gestational age (SGA) group(n=115),appropriate for gestational age(AGA) group(n=330) and large for gestational age(LGA) group (n=271),the factors related to birth weight for gestational age were analyzed.Results The differences of gender,gestational age,birth weight,premature/mature/postmature,number of fetus and parity;the age,height,weight and BMI of fathers;the age,height,pre-gestational weight,prenatal weight,weight gain during pregnancy,percentage of weight gain during pregnancy,pre-gestational BMI,prenatal BMI,BMI gain during pregnancy,percentage of BMI gain during pregnancy and the proportion of gestational diabetes mellitus (GDM) of mothers among three groups were significant (all P＜0.05).Pearson correlation analysis showed that the birth weight for gestational age was positively correlated with the age,height,weight,BMI of fathers;and the age,height,pre-gestational weight,prenatal weight,weight gain during pregnancy,pre-gestational BMI,prenatal BMI,BMI gain during pregnancy,gravida and parity of mothers (all P＜0.05);and negatively correlated with gender and number of fetus (both P＜0.05).The multiple linear regression analysis showed that the birth weight for gestational age was negatively correlated with number of fetus and gender,and positively correlated with the height,BMI of fathers;the age,height,ratio of BMI gain during pregnancy,prenatal BMI,parity of mothers (all P＜0.05).Conclusion Based on the results revealed in the study,for the health of newborns it is necessary to rationally control the nutrition of pregnant women,and avoid the maternal malnutrition or over weight gain during pregnancy.关键词
宫内发育/新生儿/小于胎龄儿/适于胎龄儿/大于胎龄儿Key words
Intrauterine growth/Newborn/Small for gestational age/Appropriate for gestational age/Large for gestational age引用本文复制引用
沈文霞,周清,杨志峰,邹朝春..胎龄别出生体重相关因素分析[J].浙江医学,2018,40(2):112-115,4.基金项目
国家自然科学基金资助项目(81170787) （81170787）
浙江省自然科学基金杰出青年基金(LR13H090002) （LR13H090002）
浙江省卫生高层次创新人才培养工程项目资助(2014) （2014）
