CAJ | 학술논문

目的:探讨孕产妇BMI及其变化对足月新生儿体重以及分娩方式的影响.方法:回顾性分析2012-01~2012-10在福建省立医院分娩的单胎足月头位的初产妇334例的临床资料,分析孕妇 BMI及其变化与足月新生儿体重和分娩方式的关系.结果:孕前肥胖者与体重消瘦和肥胖者比较,其巨大儿发生率和剖宫产率,差异有统计学意义(x 2=36.019,28.952;p<0.01,0.01).产前肥胖者足月新生儿,与体重正常者比较,发生巨大儿的可能性和剖宫产率显著增加(x 2=43.692,35.782;p<0.01,0.01). a组(妊娠期△BMI<4)与c组和b组比较,其巨大儿发生率和剖宫产率,差异有统计学意义(x2=14.527,28.133;p<0.01,0.01).结论:孕妇肥胖或妊娠期BMI增幅过大,足月新生儿体重较重,巨大儿的发生率高,剖宫产率高.
목적:탐토잉산부BMI급기변화대족월신생인체중이급분면방식적영향.방법:회고성분석2012-01~2012-10재복건성립의원분면적단태족월두위적초산부334례적림상자료,분석잉부 BMI급기변화여족월신생인체중화분면방식적관계.결과:잉전비반자여체중소수화비반자비교,기거대인발생솔화부궁산솔,차이유통계학의의(x 2=36.019,28.952;p<0.01,0.01).산전비반자족월신생인,여체중정상자비교,발생거대인적가능성화부궁산솔현저증가(x 2=43.692,35.782;p<0.01,0.01). a조(임신기△BMI<4)여c조화b조비교,기거대인발생솔화부궁산솔,차이유통계학의의(x2=14.527,28.133;p<0.01,0.01).결론:잉부비반혹임신기BMI증폭과대,족월신생인체중교중,거대인적발생솔고,부궁산솔고.
Objective:To investigate the effects of maternal BMI and its changes in weight on delivery modes and neonatal birth weight.Methods:A retrospective analysis of the clinical data of of primipara 334 cases of the first bit of the Fujian Provincial Hospital from January 2012 to October single fetus full -term birth, maternal BMI and its changes and full -term newborns weight and mode of delivery relationship.Results:Pre-pregnancy obesity and weight thin and obesity compared the huge children the incidence and rate of cesarean section, the difference was statistically significant (x 2 =43.692,35.782;p<0.01,0.01).Prenatal obese full -term newbo-rns, compared with those of normal weight , a huge children's likelihood of cesarean section rate increased significantly (x 2 =43.692, 35.782;p<0.01,0.01).a group (gestational △BMI <4) compared with Group C and Group, its huge child incidence and rate of cesarean section, the difference was statistically significant (x 2 =14.527,28.133;p<0.01,0.01).Conclusion:Maternal obesity or pregnancy BMI increase is too large, full-term newborns heavier the huge children of the high incidence of cesarean section rate .