Avoiding excessive pregnancy weight gain to obtain better pregnancy outcomes in Taiwan
Avoiding excessive pregnancy weight gain to obtain better pregnancy outcomes in Taiwan
复制标题
DOI：
10.1097/md.0000000000009711
复制
发表时间：
2018-01-01
期刊：
影响因子：
1.6
通讯作者：
Wang, Peng-Hui
中科院分区：
文献类型：
--
作者：
Horng, Huann-Cheng;Huang, Ben-Shian;Wang, Peng-Hui
妊娠体重增加可能与不良妊娠结局有关。本文旨在探讨台湾孕妇体重变化与妊娠结局的关系。这项回顾性队列研究纳入了2011年至2014年在大学附属医院进行的顶点单胎妊娠妇女。根据美国医学研究所（IOM）的指南，将妊娠体重变化分为3组：以下（n=221）；在(n = 544);（n=382）采用方差分析、chi(2)检验、广义线性模型和逻辑回归模型进行统计比较。体重变化高于IOM指南的孕妇与正常对照组相比，孕产妇和围产期并发症显著增加（比值比[OR] 1.65, 95%可信区间[CI] 1.03-1.98； P= 0.043; OR 1.45, 95% CI 1.01-1.87； P= 0.049）。在体重增加低于IOM指南的孕妇中没有发现这一发现。此外，年龄（OR 1.08, 95% CI 1.02-1.15； P= 0.0011）、孕前体重（OR 1.04, 95% CI 1.01-1.09； P= 0.008）、孕前体重指数（BMI）； OR 1.15, 95% CI 1.06-1.30
Pregnancy weight gain may be associated with adverse pregnancy outcomes. The article aims to explore the relationship between weight change and pregnancy outcome in the Taiwanese pregnant women.The retrospective cohort study enrolled women with vertex singleton pregnancy at University-associated Hospital between 2011 and 2014. Pregnancy weight change was separated into 3 groups, based on the Institute of Medicine (IOM) guidelines: below (n=221); within (n=544); and above (n=382). Analysis of variance, chi(2) tests, generalized linear models, and logistic regression models were used for statistical comparisons.Pregnant women with weight change above IOM guidelines had a significant increase in both maternal and perinatal complications compared with normal controls (odds ratio [OR] 1.65, 95% confidence interval [CI] 1.03-1.98; P=.043; OR 1.45, 95% CI 1.01-1.87; P=.049, respectively). This finding was not found in pregnant women with weight gain below IOM guidelines. Moreover, age (OR 1.08, 95% CI 1.02-1.15; P=.0011), pre-pregnancy weight (OR 1.04, 95% CI 1.01-1.09; P=.0008), pre-pregnancy body mass index (BMI; OR 1.15, 95% CI 1.06-1.30; P