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上海市中福会国际和平妇幼保健院1993~1994年门诊产前检查确定为怀孕的2000名妇女,从妊娠开始进行追踪调查,到分娩正常出生体重的活婴为止。观察项目包括,膳食调查3d记录法,孕妇孕前及孕期体格检查,新生儿体格检查,并根据孕前体重、身高,计算孕前身体质量指数(BMI)。根据BMI不同,将孕妇分为4组。结果分娩正常出生体重婴儿的孕妇,孕期总增重平均为15kg,较以往12kg有较大的提高。孕早期体重增加很少,至孕15w不足2kg,从孕17w起,增重明显。孕中期平均每周增重0.2~0.9kg,孕晚期为0.4~0.8kg,孕中与孕晚期各周增重均无明显差别,与孕晚期增重高于孕中期的看法尚不一致。不同的BMI4组孕妇间,孕期增重水平并无显著性差别,而婴儿出生体重随孕前BMI的增大而增加,有统计学意义。此外本次调查发现,BMI<19.8,19.8~26.0,26.0~29.0间的3组孕妇,其孕期营养素摄入水平并无明显差别。
Shanghai Welfare Institute International Peace Maternal and Child Health Hospital 1993 to 1994 outpatient prenatal examination identified as pregnant 2000 women, from the beginning of pregnancy to follow-up survey until the birth of normal birth weight so far the normal baby. Observation items include: dietary survey 3d record, pregnant women pre-pregnancy and pregnancy physical examination, neonatal physical examination, and according to pre-pregnancy weight, height, calculate pre-pregnancy body mass index (BMI). According to different BMI, pregnant women were divided into 4 groups. Results Pregnant women with normal birth weight infants delivered a total weight gain of 15 kg during pregnancy, which was significantly higher than the previous 12 kg. Little weight gain in early pregnancy, pregnancy 15w less than 2kg, from 17w pregnant, weight gain significantly. The second trimester average weekly weight gain of 0.2 ~ 0.9kg, the third trimester of pregnancy is 0.4 ~ 0.8kg, weight gain during pregnancy and the third trimester of pregnancy were no significant difference, and the third trimester of pregnancy is higher than the view of weight is not consistent. There was no significant difference between different BMI4 group pregnant women and pregnancy weight gain, while the birth weight of infants increased with the increase of BMI before pregnancy, with statistical significance. In addition, this survey found that BMI <19.8,19.8 ~ 26.0,26.0 ~ 29.0 between the three groups of pregnant women, their nutrient intake during pregnancy and no significant difference.