[1]温明珠.妊娠期糖尿病孕妇发生巨大儿的影响因素及体质量管理对分娩方式的影响[J].医学信息,2020,33(24):130-132.[doi:10.3969/j.issn.1006-1959.2020.24.037]
　WEN Ming-zhu.Influencing Factors of Fetal Macrosomia in Pregnant Women with Gestational Diabetes and the Influence of Weight Management on Delivery Methods[J].Medical Information,2020,33(24):130-132.[doi:10.3969/j.issn.1006-1959.2020.24.037]
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妊娠期糖尿病孕妇发生巨大儿的影响因素及体质量管理对分娩方式的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年24期
页码:
130-132
栏目:
临床研究
出版日期:
2020-12-15

文章信息/Info

Title:
Influencing Factors of Fetal Macrosomia in Pregnant Women with Gestational Diabetes and the Influence of Weight Management on Delivery Methods
文章编号:
1006-1959（2020）24-0130-03
作者:
温明珠
江西赣州市立医院妇产科，江西 赣州 341000
Author(s):
WEN Ming-zhu
Department of Obstetrics and Gynecology,Ganzhou Municipal Hospital,Ganzhou 341000,Jiangxi,China
关键词:
妊娠期糖尿病; 孕妇体质量; 巨大儿; 剖宫产
Keywords:
Gestational diabetes; Pregnant women’s body weight; Fetal macrosomia; Cesarean section
分类号:
R714.2
DOI:
10.3969/j.issn.1006-1959.2020.24.037
文献标志码:
A
摘要:
目的 观察妊娠期糖尿病孕妇发生巨大儿的影响因素及体质量管理对分娩方式的影响。方法 选取2018年1月~2019年12月我院分娩的孕妇98例。根据是否合并妊娠期糖尿病分为妊娠期糖尿病组35例与健康组63例，妊娠期糖尿病组根据体质量管理情况分为体质量控制理想组25例与体质量控制不理想组10例。分析巨大儿的影响因素以及妊娠期糖尿病孕妇体质量管理与巨大儿相关性，比较三组分娩方式、巨大儿发生率。结果 不同孕前体质量、是否孕期体重增长过多、是否分娩巨大儿史孕妇发生巨大儿情况比较，差异有统计学意义（P＜0.05）；多因素回归分析显示，孕前体质量肥胖、孕期体重增长过多是导致妊娠期糖尿病孕妇分娩巨大儿的独立危险因素，且妊娠期糖尿病孕妇体质量与巨大儿发生率呈正相关（P＜0.05）；体质量控制不理想组剖宫产率高于体质量控制理想组与健康组，差异有统计学意义（P＜0.05）；体质量控制不理想组巨大儿、产后出血、难产及其他妊娠期并发症发生率高于体质量控制理想组与健康组，差异有统计学意义（P＜0.05）。结论 孕前体质量肥胖、孕期体重增长过多是妊娠期糖尿病孕妇分娩巨大儿的危险因素，体质量越大与巨大儿发生率越高，有效控制妊娠期糖尿病孕妇体质量，可能有助于降低巨大儿及剖宫产率，预防妊娠期并发症。
Abstract:
Objective To observe the influencing factors of gestational diabetes mellitus and the influence of weight management on delivery methods. Methods A total of 98 pregnant women who gave birth in our hospital from January 2018 to December 2019 were selected. According to whether they were combined with gestational diabetes, they were divided into 35 cases of gestational diabetes and 63 cases of healthy group. The gestational diabetes group was divided into 25 cases of ideal body mass control group and 10 cases of unsatisfactory body mass control group according to the body quality management. Analyze the influencing factors of macrosomia and the correlation between weight management of pregnant women with gestational diabetes and macrosomia, and compare the three-component delivery methods and the incidence of macrosomia.Results The comparison of the pre-pregnancy body weight, whether the weight gain during pregnancy was too much, whether the history of the birth of fetal macrosomia, the situation of a huge baby in pregnant women,the difference was statistically significant (P＜0.05); multivariate regression analysis showed that obesity before pregnancy and excessive weight gain during pregnancy are independent risk factors for pregnant women with gestational diabetes to give birth to giant babies.In addition, the body weight of pregnant women with gestational diabetes mellitus was positively correlated with the incidence of macrosomia (P＜0.05); the cesarean section rate of the unsatisfactory body mass control group was higher than that of the ideal body mass control group and the healthy group,the difference was statistically significant (P＜0.05);The incidence of macrosomia, postpartum hemorrhage, dystocia and other pregnancy complications in the poor weight control group was higher than that in the ideal weight control group and the healthy group,the difference was statistically significant (P＜0.05).Conclusion Pre-pregnancy body weight obesity and excessive weight gain during pregnancy are risk factors for pregnant women with gestational diabetes to give birth to fetal macrosomia. The larger the body weight and the higher the incidence of fetal macrosomia, effective control of the body weight of pregnant women with gestational diabetes may help reduce giant babies.Rate of infants and cesarean section to prevent complications during pregnancy.

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更新日期/Last Update: 1900-01-01