[Effects of obesity and weight gain during pregnancy on obstetrical factors].
[Effects of obesity and weight gain during pregnancy on obstetrical factors].
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妊娠期肥胖和体重增加对产科因素的影响[J].
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
K. Yoshida
中科院分区：
文献类型：
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作者：
K. Aisaka;S. Andò;K. Kokuho;T. Tawada;S. Kaneda;R. Tomonari;J. Yoshimatsu;S. Sasaki;K. Yoshida
本文对1986年在三育会医院分娩的731例孕妇进行了孕期体重或体重增加与各种产科因素的关系的调查。根据日本厚生省1986年公布的“日本人肥胖和消瘦估计的决策图”标准，根据非妊娠状态下的体重将患者分为三组：苗条组（n = 214）、普通组（n = 379）和肥胖组（n = 138）。根据妊娠期间体重增加的程度（大于或小于15 kg），将每组进一步分为两组。观察两组产妇的产程时间、产时出血量、出生体重、胎盘重量和产科异常（产程延长、产程停滞、出血量> 500 ml、胎儿窘迫和妊娠毒血症）。肥胖组的出血量、新生儿出生体重和胎盘重量均明显大于正常组和消瘦组（P <0.005）。然而，这些组之间的分娩持续时间没有显著差异。肥胖组产科异常的发生率明显高于普通组或苗条组（chi 2 = 4.37，p小于0.05，chi 2 = 5.27，p小于0.025）。（250字处删节）
The relationship between the body weight or weight gain during pregnancy and various obstetrical factors was investigated in 731 patients who delivered in San-ikukai Hospital for in the year 1986. The patients were classified into three groups according to their body weight in non-pregnant states: slender (n = 214), ordinary (n = 379) and obese (n = 138), according to the standard for "The decision diagram for the estimation of obesity and emaciation in Japanese" published in 1986 by the Ministry of Health and Welfare, Japan. Each of these groups was further divided into two groups according to the degree of weight gain during pregnancy (more or less than 15kg). Then, the duration of labor, the blood loss during delivery, the birth weight, the placental weight and the obstetrical abnormalities (prolonged labor, arrested labor, blood loss of more than 500 ml, fetal distress and toxemia of pregnancy) were investigated in these groups. The blood loss, the neonatal birth weight and the placental weight in the obese groups were much greater than those in the ordinary or the slender group (p less than 0.005). However, there was no significant difference in the duration of the labor among these groups. The incidence of obstetrical abnormalities in the obese group was significantly higher than in the ordinary or the slender group (chi 2 = 4.37, p less than 0.05, chi 2 = 5.27, p less than 0.025).(ABSTRACT TRUNCATED AT 250 WORDS)