CAJ | 학술논문

目的：调查研究孕前与孕期保健对新生儿出生体重的影响。方法随机抽取2012年2月—2014年8月在该院产科接收分娩的产妇1000例作为研究对象，回顾性分析产妇的一般资料，并以调查问卷的形式对产妇在孕前与孕期的保健情况以及孕期是否合并有相关并发症的情况、新生儿的体重等进行调查，计算低体重儿、巨大儿的发生率，并分别采用单因素分析和logistic多因素回顾分析法对其影响因素进行研究。结果孕前保健咨询、孕前BMI、孕前吸烟或接触有害物质、孕周、妊娠营养情况等孕前与孕期保健情况是影响新生儿出生体重的主要因素(P<0.05)。结论通过分析不同因素对新生儿出生体重的影响，针对孕产妇的不同情况，积极开展孕前与孕期保健对于降低新生儿出生体重异常发生率具有重要意义。
목적：조사연구잉전여잉기보건대신생인출생체중적영향。방법수궤추취2012년2월—2014년8월재해원산과접수분면적산부1000례작위연구대상，회고성분석산부적일반자료，병이조사문권적형식대산부재잉전여잉기적보건정황이급잉기시부합병유상관병발증적정황、신생인적체중등진행조사，계산저체중인、거대인적발생솔，병분별채용단인소분석화logistic다인소회고분석법대기영향인소진행연구。결과잉전보건자순、잉전BMI、잉전흡연혹접촉유해물질、잉주、임신영양정황등잉전여잉기보건정황시영향신생인출생체중적주요인소(P<0.05)。결론통과분석불동인소대신생인출생체중적영향，침대잉산부적불동정황，적겁개전잉전여잉기보건대우강저신생인출생체중이상발생솔구유중요의의。
Objective To investigate the influence of preconception and prenatal care on birth weight. Methods 1 000 parturient women who experienced delivery in the Department of Obstetrics of our hospital between February 2012 and August 2014 were enrolled as the research object. We retrospectively analyzed their basic data and, by questionnaire, investigate the preconception and prenatal care, complications and birth weights to calculate the rate of low birth weight and macrosomia. Univariate analysis and multivariate retrospective analysis were performed to investigate its influencing factors. Results The main factors influencing birth weight included preconception healthcare consultation, pre-pregnancy BMI, smoking before pregnancy or exposure to harmful substances, gestational weeks, nutritional status during pregnancy and other preconception and prenatal care. Conclusion The re-sult above shows that it is of great significance for reducing abnormal birth weight to conduct preconception and prenatal care based on general situations of pregnant women.