与不充分的妊娠体重增加相关的因素:一个前性的多中心队列研究
Satoko Aoyama1, Megumi Haruna1, Kaori Yonezawa1
1Department of Midwifery and Women's Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Nursing & health sciences
|February 6, 2025
概括
在日本,不充分的妊娠体重增加 (GWG) 是常见的,与低的妊娠前BMI有关. 医疗保健提供者的建议和个人目标对GWG有很大的影响,特别是在多夫妇女性中.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 营养 公共卫生 营养
背景情况:
- 不充分的妊娠体重增加 (GWG) 是亚洲,特别是日本的一个重大问题,影响出生结果.
- 识别不充分GWG的风险因素对于改善母亲和婴儿健康至关重要.
- 以前的研究强调了GWG与出生体重以及早产之间的关联.
研究的目的:
- 在日本妇女中识别不充分GWG的风险因素.
- 调查女性目标GWG的影响以及医疗保健专业人员对GWG的建议.
- 为了区分原产妇和多产妇的风险因素.
主要方法:
- 在怀孕第二个三个月的626名妇女接受了问卷调查.
- 收集的数据包括怀孕前的体重指数 (BMI),当前体重,个体GWG目标,以及从医疗保健专业人员获得的GWG建议.
- 根据既定的准则,参与者被分为不充分的GWG和充分的GWG组.
主要成果:
- 超过一半 (52.6%) 的参与者经历过不充分的GWG.
- 不充分的GWG与怀孕前的BMI低于18.5kg/m2和第二个三个月的体重降低有显著的关联.
- 在多夫妇女性中,不充分的GWG与较低的个人GWG目标相关,缺乏专业建议,并建议GWG低于指南. 在初生女性中没有发现这种关联.
结论:
- 医疗保健专业人员需要对GWG指南的最新知识来提供有效的建议.
- 孕前护理强调BMI至少为18.5kg/m2对于预防不充分的GWG至关重要.
- 需要针对个体GWG目标和专业指导的有针对性的干预措施,特别是针对多夫妇妇女.
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