单胎初产妇的产前体重指数对妊娠结局的影响
The Effect of Prenatal Body Mass Index on Pregnancy Outcome in Singleton Primipara
DOI: 10.12677/ACM.2023.13122613, PDF,   
作者: 黄沫雅：山西医科大学第一临床医学院，山西 太原；何银芳*：山西医科大学第一医院产科，山西 太原
关键词: 产前体重；母儿并发症；分娩结局；初产妇；Prenatal Weight； Maternal and Infant Complications； Delivery Outcome； Primipara
摘要: 目的：探讨产前体重指数(body mass index, BMI)对母儿并发症的发生及分娩结局的关系。方法：回顾性分析2021年01月01日至2022年12月31日于本院产科住院分娩的初产妇1417例，依据产前BMI分为正常体重、超重、肥胖三组。三组间母儿并发症及分娩结局进行对比，并将数据用SPSS26.0软件进行分析。结果：不同产前BMI组的新生儿体重、妊娠期高血压/子痫前期、巨大儿、早产、胎儿生长受限及胎儿窘迫发生率的比较，差异均有统计学意义(P < 0.05)；在分娩方式中阴道分娩、器械助产、剖宫产及产程中转剖宫产的发生率的比较，差异均有统计学意义(P < 0.05)。结论：产前超重、肥胖与发生不良妊娠及分娩结局的风险增加相关，在孕前和孕期控制体重具有特别重要的意义。
Abstract: Objective: To investigate the relationship between prenatal body mass index (BMI) and maternal and fetal complications and delivery outcomes. Methods: A retrospective analysis was performed on 1417 primiparas who delivered in the hospital from January 1, 2021 to December 31, 2022. Ac-cording to prenatal BMI, they were divided into three groups: normal weight, overweight and obe-sity. The maternal and neonatal complications and delivery outcomes were compared among the three groups, and the data were analyzed by SPSS 26.0 software. Results: Among the different pre-natal BMI groups of birth weight, gestational hypertension/preeclampsia, macrosomia, premature delivery, fetal growth restriction and the comparison of the incidence of fetal distress, the differ-ences were statistically significant (P < 0.05); There were statistically significant differences in the incidence of vaginal delivery, instrumental delivery, cesarean section and conversion to cesarean section during labor between the two groups (P < 0.05). Conclusion: Prenatal overweight and obe-sity with an increased risk of adverse pregnancy and birth outcomes, during pregnancy and preg-nancy weight control is of great significance.
文章引用：黄沫雅, 何银芳. 单胎初产妇的产前体重指数对妊娠结局的影响[J]. 临床医学进展, 2023, 13(12): 18592-18598. https://doi.org/10.12677/ACM.2023.13122613

参考文献

[1] 陈丽峨, 李婷婷. 妊娠合并症及不良妊娠结局与孕前体重及孕期体重增长的关系[J]. 昆明医科大学学报, 2022, 43(9): 101-106.
[2] 王琎. 孕前体重指数及孕期体重变化量对妊娠并发症及妊娠结局的影响[J]. 中国现代医药杂志, 2023, 25(7): 23-28.
[3] Langley-Evans, S.C., Pearce, J. and Ellis, S. (2022) Overweight, Obesity and Excessive Weight Gain in Pregnancy as Risk Factors for Adverse Pregnancy Outcomes: A Narrative Review. Journal of Human Nutrition and Dietetics, 35, 250-264. [Google Scholar] [CrossRef] [PubMed]
[4] 吴凯佳, 张永欣, 张国华, 等. 体重指数对单胎足月初产妇分娩结局的影响[J]. 中国实用妇科与产科杂志, 2023, 39(1): 107-110.
[5] Simmons, D., Devlieger, R., Assche, V.A., et al. (2018) Association between Gestational Weight Gain, Gestational Diabetes Risk, and Obstetric Outcomes: A Randomized Controlled Trial Post Hoc Analysis. Nutrients, 10, Article 1568. [Google Scholar] [CrossRef] [PubMed]
[6] Chodick, G., Omer-Gilon, M., Derazne, E., et al. (2021) Adolescent Body Mass Index and Changes in Pre-Pregnancy Body Mass Index in Relation to Risk of Gestational Diabetes. E Clini-cal Medicine, 19, Article ID: 101211. [Google Scholar] [CrossRef] [PubMed]
[7] Rahnemaei, F.A., Abdi, F., Kazemian, E., et al. (2022) Associa-tion between Body Mass Index in the First Half of Pregnancy and Gestational Diabetes: A Systematic Review. SAGE Open Medicine, 22. [Google Scholar] [CrossRef] [PubMed]
[8] Champion, M.l. and Harper, L.M. (2020) Gestational Weight Gain: Update on Outcomes and Interventions. Current Diabetes Reports, 20, Article No. 11. [Google Scholar] [CrossRef] [PubMed]
[9] 曹潇君, 彭军. 孕前超重及孕期增重过多对母婴结局的影响分析[J]. 黑龙江医药, 2021, 34(4): 747-749.
[10] Najpaverova, S., Kovarik, M., Kacerovsk, Y.M., et al. (2020) The Relationship of Nutritional Energy and Macronutrient Intake with Pregnancy Outcomes in Czech Pregnant Women. Nu-trients, 12, Article 1152. [Google Scholar] [CrossRef] [PubMed]
[11] 王琴, 韩平, 张国英. 妊娠期母体营养对巨大儿的影响[J]. 国际妇产科学杂志, 2023, 50(2): 127-131.
[12] 赵晨宇, 王红梅, 夏薇, 等. 孕妇能量摄入与巨大儿发生关系研究[J]. 中国初级卫生保健, 2015, 29(2): 42-45.
[13] 肖雪云, 于建元, 李凤荷, 等. 蒙古族、汉族孕妇产前BMI对新生儿出生体重的影响[J]. 包头医学院学报, 2015, 31(4): 23-25.
[14] Dudenhausen, J.W., Kunze, M., Wittwer-Backofen, U., et al. (2018) The Relationship between Maternal Age, Body Mass Index and the Rate of Preterm Birth. Journal of the Turkish German Gynecological Association, 19, 182-186. [Google Scholar] [CrossRef] [PubMed]
[15] Katja, V., Marko, B., Tamara, P. and Matijevića, R. (2021) Prevalence and Impact of Pre-Pregnancy Body Mass Index on Pregnancy Outcome: A Cross-Sectional Study in Croatia. Journal of Obstetrics and Gynaecology, 41, 55-59. [Google Scholar] [CrossRef] [PubMed]
[16] Tanner, L.D., Brock, A.C. and Chauhan, S.P. (2020) Sever-ity of Fetal Growth Restriction Stratified According to Maternal Obesity. The Journal of Maternal-Fetal & Neonatal Medicine, 35, 1886-1890. [Google Scholar] [CrossRef] [PubMed]
[17] Yang, Z., Phung, H., Freebairn, L., et al. (2019) Contribu-tion of Maternal Overweight and Obesity to the Occurrence of Adverse Pregnancy Outcomes. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 59, 367-374. [Google Scholar] [CrossRef] [PubMed]
[18] Myatt, L. and Maloyan, A. (2016) Obesity and Placental Function. Seminars in Reproductive Medicine, 34, 42-49. [Google Scholar] [CrossRef] [PubMed]
[19] 林晓岚, 赖俏红, 梁丽霞. 孕期体重管理对新生儿出生体重及妊娠结局的影响[J]. 中国医学创新, 2020, 17(4): 40-43.
[20] 刘滔, 张婷, 欧阳玲, 等. 孕前、产前体重指数和孕期增重对高龄产妇妊娠并发症及结局的影响[J]. 中国医药科学, 2020, 10(18): 1-5.
[21] Foo, X.Y., Greer, R.M. and Kumar, S. (2016) Impact of Maternal Body Mass Index on Intrapartum and Neonatal Outcomes in Brisbane, Australia, 2007 to 2013. Birth, 43, 358-365. [Google Scholar] [CrossRef] [PubMed]
[22] 王军辉. 产前肥胖对产妇妊娠结局的影响分析[J]. 当代医药论丛, 2019, 17(6): 88-89.

为你推荐