The optimum value of weigh gain during pregnancy for the maternal with different pre-pregnant body mass index and the prediction value of the macrosomia
LIU Xiaofang1 YANG Bo1 YANG Biying1 LUO Miaoqing1 WANG Xu2 CHEN Fenghua3
1.Department of Nutritional, Huadu District People's Hospital of Guangzhou 510800, China;
2.Department of Child Healthcare, Huadu District People's Hospital of Guangzhou 510800, China;
3.Department of Obstetric, Huadu District People's Hospital of Guangzhou 510800, China
Abstract：Objective To research the suitable pregnancy weight gain value of the maternal with different pre-pregnancy body mass index (BMI), predict the appearence probability of the macrosomia using the suitable pregnancy weight gain value. Methods From January 2016 to December 2016, 500 cases of maternal who gave birth in Huadu District People's Hospital of Guangzhou were recruited into this study. According to the pre-pregnancy body mass index, these maternal were divided into low BMI group (group A, 149 cases, BMI<18.5 kg/m2), normal BMI group (group B, 225 cases, 18.5 kg/m2≤BMI<25.0 kg/m2) and high BMI group (group C, 126 cases, BMI≥25.0 kg/m2). The incidence of macrosomia in three groups was counted. The relationship between macrosomia incidence and weight gain during pregnancy was investigated. The consistency of the suitable pregnancy weight gain value and the IOM recommendation value about the three groups was observed. The occurrence of macrosomia was predicted by using the suitable pregnancy weight gain value. Results The suitable pregnancy weight gain value of group A and C had the same value with the value recommended by IOM, was 12.5-18.0 kg and 7.0-11.5 kg respectively. The suitable pregnancy weight gain value of group B was different with the IOM recommended value. The suitable pregnancy weight gain value for the group B was 10.5-15.0 kg. The area under the ROC curve was 0.693, 0.719 and 0.690 respectively. The positive predictive value was 70.73%, 58.62% and 59.02%. The negative predictive value was 73.42%, 74.19% and 76.27% respectively. Conclusion The IOM recommended pregnancy weight gain value is not suitable for the maternal in our region. Based on the characteristics of maternal physical modernised in the added value of pregnancy weight can better predict the occurrence of macrosomia and reduce the incidence of adverse birth outcomes.
刘小芳1 杨波1 杨碧英1 骆妙青1 王旭2 陈风华3. 不同孕前体重指数产妇孕期体重增加适宜值及对巨大儿发生的预测价值[J]. 中国医药导报, 2018, 15(15): 104-107.
LIU Xiaofang1 YANG Bo1 YANG Biying1 LUO Miaoqing1 WANG Xu2 CHEN Fenghua3. The optimum value of weigh gain during pregnancy for the maternal with different pre-pregnant body mass index and the prediction value of the macrosomia. 中国医药导报, 2018, 15(15): 104-107.
[1] Faucher MA，Barger MK. Gestational weight gain in obese women by class of obesity and select maternal/newborn outcomes：A systematic review [J]. Women Birth，2015，28（3）：e70-e79.
[2] Parellada CB，Ásbjörnsdóttir B，Ringholm L，et al. Fetal growth in relation to gestational weight gain in women with Type 2 diabetes：an observational study [J]. Diabet Med，2014，31（12）：1681-1689.
[3] Davies GAL，Maxwell C，Mcleod L，et al. Obesity in Pregnancy [J]. J Obstet Gynaecol Can，2010，32（2）：165-173.
[4] 李艳华，陈小梅，陈水仙，等.孕前体重和孕期增重对新生儿出生结局及孕产妇围产结局的影响[J].中华流行病学杂志，2014，35（6）：635-640.
[5] Institute of Medicine，National Research Council. Weight gain during pregnancy：reexamining the guidelines [M]. Washington，DC：National Academies Press，2009.
[6] Kunz LH，King JC. Impact of maternal nutrition and metabolism on health of the offspring [J]. Semin Fetal Neo?鄄natal Med，2007，12（1）：71-77.
[7] 王红菊，魏兆莲，王素芳，等.饮食和生活方式的咨询指导对孕妇体重指数及妊娠结局的影响[J].中华疾病控制杂志，2014，18（4）：301-303.
[8] 白力伟，陆强，韩忠厚，等.巨大儿相关因素分析[J].河北医药，2017，39（23）：3599-3601.
[9] 李楠，闫丹.妊娠期糖尿病孕妇孕期体重变化对新生儿出生体重的影响[J].中国医药导报，2017，14（15）：124-126.
[10] 张菲菲，程海东，王春芳，等.孕前体质指数及孕期体重增长对妊娠过程及结局的影响[J].现代妇产科进展，2017， 26（10）：48-50.
[11] 罗婧婧.孕前体重及孕期体重增长对巨大儿发生的预测价值[J].临床医药实践，2017，26（9）：666-668.
[12] 王禾，唐含蜜，张莉，等.孕期体重管理的效果研究[J].中国计划生育和妇产科，2018，10（1）：70-72.
[13] 李明霞.孕中期营养指导对GDM患者的体重增长与妊娠结局的影响[J].河北医药，2017，39（5）：733-734.
[14] 蔡晓红.量化饮食指导对妊娠中晚期孕妇体重及妊娠结局的影响[J].上海护理，2019，39（1）：41-43.
[15] 王敬民，石芳鑫，周娜娜，等.502例单胎足月巨大儿的发生现状及危险因素分析[J].医学与哲学，2017，38（12）：38-41.
[16] 郭洪花，张彩虹.孕期体重管理的研究现状[J].中华护理杂志，2015，50（6）：738-742.
[17] 程光英.孕妇体重增加的影响因素与妊娠结局[J].安徽预防医学杂志，2014（5）：353-355.
[18] 王发宁，刘春丽，刘明华，等.合肥地区孕妇孕期增重率和妊娠结局的调查分析[J].现代妇产科进展，2017，26（4）：307-308.
[19] 赵冰，陈娟，胡孟彩，等.河南省14地区城乡新生儿出生体重相关因素分析[J].中华围产医学杂志，2017，20（6）：92-94.
[20] 宋月华，蒋湘，刘铭，等.IOM孕期体质量控制标准对上海地区孕妇的适用情况初探[J].实用妇产科杂志，2016， 32（6）：441-444.
2018, Vol. 15 
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