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目的:探讨妊娠妇女孕期体重过度增长、肥胖与妊娠结局的关系。方法:选择该院妇产科2011年12月~2013年12月收集的200例孕前肥胖与妊娠期体重增长过度孕妇作为观察组,同期200例非肥胖孕妇作为对照组,对两组孕妇的分娩情况及并发症进行比较。结果:观察组妊娠妇女的妊娠期高血压(10.5%)、妊娠期糖尿病(11.5%)、产褥期感染(4.5%)、产后出血(17.0%)、胎膜早破(3.0%)、胎盘早剥(4.0%)均显著地高于对照组妊娠妇女(P<0.05)。观察组妊娠妇女的总产程、产程异常率、剖宫产率、产钳助产率、早产率均显著地高于对照组妊娠妇女(P<0.05);观察组妊娠妇女的正常分娩率、会阴侧切率均显著地低于对照组妊娠妇女(P<0.05)。观察组的新生儿窒息率、新生儿出生体重>4 000 g发生率显著地高于对照组新生儿(P<0.05)。结论:孕前肥胖、孕期体重增加过度均会对产妇及胎儿结局造成不良影响。
Objective: To investigate the relationship between pregnant women overweight during pregnancy, obesity and pregnancy outcome. Methods: 200 obstetrics and gynecology obstetrics and gynecology department obstetrics and gynecology from December 2011 to December 2013 collected overweight pregnant women during pregnancy as an observation group, 200 non-obese pregnant women over the same period as a control group, the two groups of pregnant women of childbirth Conditions and complications were compared. Results: The gestational hypertension (10.5%), gestational diabetes mellitus (11.5%), puerperal infection (4.5%), postpartum hemorrhage (17.0%), premature rupture of membranes (3.0%), placental abruption (4.0%) were significantly higher than the control group of pregnant women (P <0.05). The incidence of labor, labor rate, cesarean section rate, forceps delivery rate and premature delivery rate in pregnant women in observation group were significantly higher than those in pregnant women in control group (P <0.05). The normal pregnancy rate, Rates were significantly lower than those of pregnant women in the control group (P <0.05). Neonatal asphyxia in the observation group, neonatal birth weight> 4 000 g incidence was significantly higher than that of the control group neonates (P <0.05). Conclusion: Pre-pregnancy obesity, excessive weight gain during pregnancy will adversely affect maternal and fetal outcomes.