孕前与孕期保健对新生儿出生体重的影响观察

摘要

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.%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。