国际医药卫生导报2019，Vol.25Issue(14)：2241-2244,4.DOI:10.3760/cma.j.issn.1007-1245.2019.14.010
孕期营养体质量管理与预防巨大儿及足月低重儿的临床研究
Nutritional weight management during pregnancy and prevention of macrosomia and full-term low birth weight infants
摘要
Abstract
Objective To study the clinical effect of nutritional weight management and prevention of macrosomia and full-term low birth weight infants during pregnancy.Methods From April,2016 to March,2018,600 singleton women who had perinatal health care manuals and had taken ＞5 times of maternity examination at our hospital were selected as study objects,and were divided as a control group (n=400) and an observation group (n=200).The control group 4 were given routine pregnancy examination management to control their weight;and in addition,the observation group were given specific weight management.The weight gain during pregnancy,the number and proportion of macrosomia and low birth weight infants,the delivery mode,the incidences of postpartum hemorrhage,obstruction of labor,pregnancy-induced hypertension and hyperglycemia,neonatal asphyxia and gestational diabetes mellitus were recorded,analyzed,and compared between the two groups.Results There were no statistical difference in body mass index before pregnancy between the two groups (P ＞ 0.05).After intervention,the weight gain of pregnant women in the observation group was significantly lower than that in the control group [(14.11±2.36) kg vs.(19.25±2.59) kg;P ＜ 0.05].More cases took spontaneous delivery in the observation group than in the control group (88.0％ vs.58.5％,P ＜ 0.05),and fewer,cesarean section (10.5％ vs.39.0％,P ＜ 0.05).The number of pregnant women with gestational hypertension,gestational hyperglycemia,obstruction of labor and postpartum hemorrhage in the observation group was significantly lower than that in the control group (P ＜ 0.05).The number of full-term low birth weight infants,macrosomia and neonatal asphyxia in the observation group were significantly lower than that in the control group (P ＜ 0.05).Conclusion Nutritional weight management during pregnancy can effectively prevent the incidence of macrosomia and full-term low birth weight infants and reduce postpartum complications,and has good clinical comprehensive treatment effect,so it is worthy of clinical application.关键词
孕期营养/孕期体质量管理/体质量指数/巨大儿/低体质量儿/妊娠结局Key words
Pregnancy nutrition/Pregnancy weight management/Body mass index/Giant infants/Low weight infants/Pregnancy outcomes引用本文复制引用
卢柳娟,赵淑婷,夏金丝..孕期营养体质量管理与预防巨大儿及足月低重儿的临床研究[J].国际医药卫生导报,2019,25(14):2241-2244,4.基金项目
江门市科技计划项目(2016020300790003558) Project of Plan of Science and Technology in Jiangmen (2016020300790003558) （2016020300790003558）
