【摘要】：目的:探討孕婦分娩年齡對妊娠期體重增長及新生兒出生體重的影響。方法:收集于哈爾濱醫(yī)科大學(xué)附屬第四醫(yī)院產(chǎn)科產(chǎn)檢并分娩的1563例孕婦,記錄其年齡、身高、孕前體重、妊娠期體重增長、新生兒出生體重。根據(jù)2009年美國醫(yī)學(xué)研究所(IOM)公布的妊娠期體重增長推薦值,按孕前BMI分為4組:18.5kg/m~2(293例),18.5~24.9kg/m~2(1060例),25~29.9kg/m~2(177例),≥30kg/m~2(33例);再根據(jù)妊娠期體重增長值,將每組細(xì)分為體重增長不足、增長適宜、增長過多3個亞組。結(jié)果:(1)孕前BMI值越大,妊娠期體重增長超過推薦值的發(fā)生率越大(r=0.120,P=0.000)。(2)妊娠期體重增長值隨著分娩年齡(B=-0.073,P=0.004)及孕前BMI(B=-0.200,P=0.000)的增加而減少。(3)新生兒出生體重隨著分娩年齡(B=0.068,P=0.016)及妊娠期體重增長(B=0.188,P=0.00)的增加而增加。結(jié)論:選擇適當(dāng)?shù)哪挲g妊娠,合理控制孕前體重及妊娠期體重增長,有利于獲得良好的母兒結(jié)局。
[Abstract]:Objective: to investigate the effect of delivery age on gestational weight gain and neonatal birth weight. Methods: 1563 pregnant women were collected from the fourth affiliated Hospital of Harbin Medical University. Their age, height, weight before pregnancy, weight gain during pregnancy and birth weight of newborn were recorded. According to the recommended value of gestational weight gain published by the American Institute of Medicine (IOM) in 2009, BMI was divided into four groups according to pre-pregnancy BMI: 18.5 kg / m-2 (293 cases), 18.5 kg / m-2 (1060 cases), 255kg / m-2 (177 cases), 鈮，

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