[1]胡晓莉.高龄孕妇孕前体质量指数联合孕期体重增加情况对妊娠结局的预测价值[J].医学信息,2024,37(24):66-68,80.[doi:10.3969/j.issn.1006-1959.2024.24.018]
　HU Xiaoli.Predictive Value of Pre-pregnancy Body Mass Index Combined with Weight Gain During Pregnancy on Pregnancy Outcome in Elderly Pregnant Women[J].Journal of Medical Information,2024,37(24):66-68,80.[doi:10.3969/j.issn.1006-1959.2024.24.018]
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高龄孕妇孕前体质量指数联合孕期体重增加情况对妊娠结局的预测价值()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
66-68,80
栏目:
论著
出版日期:
2024-12-15

文章信息/Info

Title:
Predictive Value of Pre-pregnancy Body Mass Index Combined with Weight Gain During Pregnancy on Pregnancy Outcome in Elderly Pregnant Women
文章编号:
1006-1959（2024）24-0066-04
作者:
胡晓莉
婺源县妇幼保健院妇产科，江西 婺源 333200
Author(s):
HU Xiaoli
Department of Obstetrics and Gynecology,Wuyuan County Maternal and Child Health Hospital,Wuyuan 333200,Jiangxi,China
关键词:
高龄孕妇; 孕前体质量指数; 孕期体重增加; 妊娠结局
Keywords:
Elderly pregnant women; Pre-pregnancy body mass index; Pregnancy weight gain; Pregnancy outcome
分类号:
R715.2
DOI:
10.3969/j.issn.1006-1959.2024.24.018
摘要:
目的 研究高龄孕妇孕前体质量指数联合孕期体重增加情况对妊娠结局的预测价值。方法 选取2022年6月-2024年5月于婺源县妇幼保健院进行产检的62例高龄孕妇作为研究对象，以国家卫健委2022年发布的《妊娠期妇女体重增加推荐值标准》为依据，根据孕前体质量指数分为三组，即低体质量指数组、正常体质量指数组、超重及肥胖组。比较三组妊娠期糖尿病（GDM）发生率、不良妊娠结局发生率，分析高龄孕妇孕前体质量指数、孕期体重增加情况与不良妊娠结局的相关性。结果 低体质量指数组、正常体质量指数组GDM发生率低于超重及肥胖组（P＜0.05）；孕期体重增加越多，GDM发生率越高（P＜0.05）。低体质量指数组、正常体质量指数组不良妊娠结局发生率低于超重及肥胖组（P＜0.05）；孕期体重增加越多，不良妊娠结局发生率越高（P＜0.05）。Pearson相关性显示：孕前体质量指数、孕期体重增加情况与不良妊娠结局呈正相关（P＜0.05）。结论 高龄孕妇属于高危妊娠，孕期体重增加过多或者孕前体质量指数增加过快会增加不良妊娠结局的发生率，临床上应重视对高龄孕妇孕期体重增加的管理，均衡营养，使高龄孕妇增重控制在合理范围内，从而最大程度地降低妊娠不良结局的发生。
Abstract:
Objective To study the predictive value of pre-pregnancy body mass index combined with weight gain during pregnancy on pregnancy outcome in elderly pregnant women.Methods A total of 62 elderly pregnant women who underwent prenatal examination in Wuyuan County Maternal and Child Health Hospital from June 2022 to May 2024 were selected as the research objects. Based on the “Recommended Value Standard for Weight Gain of Pregnant Women” issued by the National Health Commission in 2022, they were divided into three groups according to the pre-pregnancy body mass index, namely, low body mass index group, normal body mass index group, overweight and obesity group. The incidence of gestational diabetes mellitus (GDM) and the incidence of adverse pregnancy outcomes were compared among the three groups. The correlation between pre-pregnancy body mass index, weight gain during pregnancy and adverse pregnancy outcomes in elderly pregnant women was analyzed.Results The incidence of GDM in the low body mass index group and normal body mass index group was lower than that in the overweight and obesity group (P<0.05). The more weight gain during pregnancy, the higher the incidence of GDM (P<0.05). The incidence of adverse pregnancy outcomes in the low body mass index group and normal body mass index group was lower than that in the overweight and obesity group (P<0.05). The more weight gain during pregnancy, the higher the incidence of adverse pregnancy outcomes (P<0.05). Pearson correlation showed that pre-pregnancy body mass index and weight gain during pregnancy were positively correlated with adverse pregnancy outcomes (P<0.05).Conclusion Elderly pregnant women are high-risk pregnancies. Excessive weight gain during pregnancy or excessive increase in pre-pregnancy body mass index will increase the incidence of adverse pregnancy outcomes. Clinically, attention should be paid to the management of weight gain during pregnancy in elderly pregnant women. Balanced nutrition, so that the weight gain of elderly pregnant women is controlled within a reasonable range, thereby minimizing the occurrence of adverse pregnancy outcomes.

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更新日期/Last Update: 1900-01-01