辅助生殖孕妇孕期体重管理影响因素的质性研究

Qualitative Study on Influencing Factors of Pregnancy Weight Management in Assisted Reproduction Pregnant Women

摘要: 目的：了解辅助生殖孕妇孕期体重管理的影响因素，为孕期的体重干预方案提供参考依据。方法：采用质性研究方法，设置访谈提纲，选取2023年3月~5月湖南省长沙市某三级生殖与遗传专科医院的20例辅助生殖技术助孕的孕妇进行深度访谈。结果：辅助生殖孕妇对孕期体重管理的相关知识了解不足；过量的饮食、锻炼的缺乏、自我信念及角色冲突是影响孕妇孕期体重的因素之一；医护人员专业的指导和家庭、社会支持能有助于孕期体重管理。结论：辅助生殖孕妇孕期易出现体重管理失衡的现象，孕期保健人员应根据辅助生殖孕妇体重管理的意愿与需求，为其提供个性化的孕期管理方案，从而改善母婴分娩结局。

Abstract: Objective: To understand the influential factors of pregnancy weight management in assisted re-production pregnant women, and to provide reference for pregnancy weight intervention programs. Methods: Qualitative research method was used to set the interview outline, and 20 pregnant women with assisted reproductive technology were selected for in-depth interviews from March to May 2023 in a tertiary reproductive and genetic hospital in Changsha, Hunan Province. Results: As-sisted reproduction pregnant women did not know enough about weight management during pregnancy; Excessive diet, lack of exercise, self-belief and role conflict are one of the factors that af-fect pregnancy weight. Professional guidance from health care professionals and family and social support can help with weight management during pregnancy. Conclusion: Pregnant women with assisted reproduction are prone to imbalance in weight management during pregnancy, and preg-nancy health care personnel should provide personalized pregnancy management programs ac-cording to the wishes and needs of assisted reproduction pregnant women with weight manage-ment, so as to improve maternal and infant delivery outcomes.