The Relationship between Pregnancy Complications and Adverse Pregnancy Outcomes and Pre-pregnancy Weight and Weight Gain during Pregnancy

Li'e CHEN; Tingting LI

doi:10.12259/j.issn.2095-610X.S20220909

Volume 43 Issue 9

Sep. 2022

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Li'e CHEN, Tingting LI. The Relationship between Pregnancy Complications and Adverse Pregnancy Outcomes and Pre-pregnancy Weight and Weight Gain during Pregnancy[J]. Journal of Kunming Medical University, 2022, 43(9): 101-106. doi: 10.12259/j.issn.2095-610X.S20220909

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Li'e CHEN, Tingting LI. The Relationship between Pregnancy Complications and Adverse Pregnancy Outcomes and Pre-pregnancy Weight and Weight Gain during Pregnancy[J]. Journal of Kunming Medical University, 2022, 43(9): 101-106. doi: 10.12259/j.issn.2095-610X.S20220909

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The Relationship between Pregnancy Complications and Adverse Pregnancy Outcomes and Pre-pregnancy Weight and Weight Gain during Pregnancy

doi: 10.12259/j.issn.2095-610X.S20220909

Li'e CHEN,
Tingting LI^,

Dept. of Obstetrics，People’s Hospital of Xishuangbanna Dai Autonomous Prefecture，Jinghong Yunnan 666100，China

Received Date: 2022-06-07
Available Online: 2022-08-29
Publish Date: 2022-09-29

Abstract

Abstract

Objective To explore the influence and relationship of prepregnancy weight and pregnancy weight gain on pregnancy complications and adverse pregnancy outcomes, and to provide the evidence for the pregnancy health care, reducing pregnancy complications and improving maternal and infant outcomes. Methods According to the retrospective study method, 603 singleton live pregnancies who were hospitalized and delivered in People’s Hospital of Xishuangbanna Dai Autonomous Prefecture with gestational diabetes mellitus （GDM）, hypertension and other diseases and fetal macrosomia during January 2020 to January 2022 were collected. According to the prepregnancy body mass index （BMI） and gestational weight gain （GWG） criteria, they were divided into the low weight group （n = 31）, normal weight group （n = 365）, super weight group （n = 146）, obesity group （n = 61）, underweight gain group （n = 163）, normal weight gain group （n = 230） and excessive weight gain group （n = 210）: The pregnancy complications and adverse pregnancy outcomes, such as cesarean section rate, shoulder dystocia, birth rate of macrosomia, low birth weight infants, and admission rate to NICU were compared and analyzed. Results Prepregnancy maternal obesity was the influencing factor of preeclampsia. The incidence of preeclampsia, cesarean section, preterm delivery, low birth weight and NICU transfer increased with the increase of BMI before the pregnancy, and the difference was statistically significant （P < 0.05）. The incidence of macrosomia, shoulder dystocia, preeclampsia and cesarean section increased with the increase of GWG, and the difference was statistically significant （P < 0.05）. Conclusion High BMI before the pregnancy and excessive weight gain during the pregnancy can increase the incidence of pregnancy complications and lead to the increase in the incidence of adverse pregnancy outcomes. We should further strengthen the management and education of pregnant women’s weight during the pregnancy, and carry out whole-process intervention on weight during the pregnancy.
- Body mass index,
- Gestational weight gain,
- Pregnancy complications,
- Adverse pregnancy outcomes

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References(21)

References

[1]	刘月娇.《中国居民营养与慢性病状况报告（2020年）》: 我国超过一半成年居民超重或肥胖[J]. 中华医学信息导报, 2020, 35（24）: 15.
[2]	陈敖峥,秦锦龙,李月,等. 孕前BMI对产科并发症及妊娠结局的影响[J]. 同济大学学报:医学版,2017,38(2):6.
[3]	丁金玉,蔡红霞,李敏红. 妊娠期体质量变化对患者体成分及不良妊娠结局的影响[J]. 解放军预防医学杂志,2019,37(10):119-120.
[4]	郭艳军,王华,邹燕. 孕前超重和肥胖对孕期糖脂代谢及妊娠结局的影响[J]. 中国计划生育学杂志,2019,27(6):814-818.
[5]	刘鹏,徐磊,王毅,等. 围产期结局与孕前产妇体重指数的关系[J]. 肥胖评论,2016,17(11):1091-1102.
[6]	D Nucci,M Chiavarini,E Duca,et al. Pre-pregnancy body mass index,gestational weight gain and adverse birth outcomes:Some evidence from Italy[J]. Ann Ig,2018,2(30):140-152.
[7]	邢萌萌,卫国,王志隆,等. 孕前体重指数及孕期增重对围生结局的影响[J]. 中国儿童保健杂志,2020,28(4):6.
[8]	戚文艳,江会,余慧. 孕前BMI及孕期增重水平对妊娠结局的影响[J]. 牡丹江医学院学报,2021,42(1):75-78,82.
[9]	谢幸, 孔北华, 段涛. 妇产科学[M]. 第9版. 北京: 人民卫生出版社, 2018: 58, 135-137.
[10]	蒋湘,卞政,袁玲,等. 孕前超重及肥胖对孕期体质量控制及妊娠结局的影响[J]. 国际妇产科学杂志,2019,46(3):4.
[11]	钱婷婷,陈丹青. 妊娠期糖尿病高危因素的研究进展[J]. 国际妇产科学杂志,2019,46(5):494-498. doi: 10.3969/j.issn.1674-1870.2019.05.003
[12]	戚文艳,厉跃红,王佳洁. 孕期体重增加与妊娠结局相关性的研究进展[J]. 牡丹江医学院学报,2020,41(4):91-92,96.
[13]	王小玲,伍丹丹,李纯孝. 孕前超重肥胖对妊娠期糖尿病初产妇妊娠结局的影响[J]. 现代妇产科进展,2021,30(9):4.
[14]	王立芳,周虹,张妍,等. 孕前体质指数与早产的关系[J]. 北京大学学报(医学版),2016,48(3):414. doi: 10.3969/j.issn.1671-167X.2016.03.007
[15]	郑燕,储继军,夏咏梅,等. 孕前体质量指数及孕期增重对妊娠结局的影响[J]. 实用临床医药杂志,2021,25(4):59-63. doi: 10.7619/jcmp.20210374
[16]	李精华,杨柳,陈庆,等. 妊娠前体质指数及妊娠期体重增加对妊娠并发症和妊娠结局影响的前瞻性队列研究[J]. 中华妇产科杂志,2019,54(3):184-188.
[17]	吕月. 糖代谢异常孕妇孕前体重、孕期体重增加对新生儿出生体重的影响[J]. 现代医学,2015,43(3):351-354.
[18]	Kominiarek M A,Saade G,Mele L,et al. Association between gestational weight gain and perinatal outcomes[J]. Obstet Gynecol,2018,132(4):875-881. doi: 10.1097/AOG.0000000000002854
[19]	曹宇,杨虹,陈志梅,等. 孕期体重增加对妊娠结局影响的临床研究[J]. 现代诊断与治疗,2018,29,(254):135-136.
[20]	宋贵玉,王冰冰,张硕,等. 孕期体重增加对妊娠晚期孕妇血脂影响及其与新生儿发育相关性研究[J]. 中国实用妇科与产科杂志,2016,6(21):576-579.
[21]	Eriksson J G,Sandboge S,Salonen M,et al. Maternal weight in pregnancy and offspring body composition in late adulthood:Findings from the helsinki birth cohort study (HBCS)[J]. Ann Med,2015,47(2):94-99. doi: 10.3109/07853890.2015.1004360

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