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首页> 外文期刊>International Journal of Nursing and Midwifery >The effects of pre-pregnancy body mass index and gestational weight gain on neonatal birth weight in Taiwan
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The effects of pre-pregnancy body mass index and gestational weight gain on neonatal birth weight in Taiwan

机译：台湾孕前体重指数和妊娠体重增加对新生儿出生体重的影响

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The aim of this retrospective study was to?explore the effects of pre-pregnancy body mass index and gestational weight gain on neonatal birth weight in Taiwan.Study subjects included two hundred and sixty three women who delivered their babies at two local hospitals in southern Taiwan. Initial data included maternity records on age, parity, socio-economic status, body mass index (BMI), pregnancy weight gain, neonatal gender, and neonatal birth weight. The mean age of 263 women was 29.99 years (range 19 - 42). The mean BMI was 21.19 kg/m2?(range 16.22 - 32.05), and the mean pregnancy weight gain was 13.98 kg (range 3 - 33.5). The mean neonatal birth weight was 3192.57 gm (range 2120 - 4390).? Mothers whose BMI was 24 - 27 had significantly higher neonatal birth weight than those mothers with a BMI > 27 and < 18.5) (F = 5.816, p?= 0.001). After dividing the weight gain during pregnancy into four groups based on the recommendation of the Department of Health in Taiwan, our results show differences between maternal weight gain and neonatal body weight (F = 9.49, p < 0.001). Pregnant women with a weight gain less than 10 kg resulted in deliveries of neonates with lower birth weight (113.94, 237.62 and 332.58 gm) than those mothers who gained 10 - 14, 14 – 16 kg, and more than 16kg. Multiple regression models control for other maternal and neonatal characteristics were able to document, weight gain as being more strongly associated with neonatal birth weight than pre-pregnancy body mass index. Neonatal birth weight was not correlated with maternal working status, socio-economical status and was not differentiated between primipara and multipara status. Conclusively, pre-pregnancy BMI and prenatal weight gain are related to neonatal birth weight. These results suggest that the pre-pregnancy BMI and prenatal weight gain should be among the most important concerns for providers offering prenatal services. Hopefully?these findings will serve as a useful reference for prenatal nurses and will reinforce health insurance departments’ efforts to ensure quality prenatal care.
机译：这项回顾性研究的目的是探讨台湾的孕前体重指数和妊娠体重增加对新生儿出生体重的影响。研究对象包括263名在台湾南部两家当地医院分娩的妇女。 。最初的数据包括有关年龄，胎次，社会经济状况，体重指数（BMI），妊娠体重增加，新生儿性别和新生儿出生体重的产妇记录。 263名女性的平均年龄为29.99岁（范围19-42）。平均BMI为21.19 kg / m2？（范围16.22-32.05），平均孕妇体重增加为13.98 kg（范围3-33.5）。新生儿平均出生体重为3192.57 gm（范围2120-4390）。 BMI为24-27的母亲的新生儿出生体重明显高于BMI> 27且<18.5的母亲（F = 5.816，p = 0.001）。根据台湾卫生部的建议，将怀孕期间的体重增加分为四组，我们的结果显示孕妇体重增加和新生儿体重之间存在差异（F = 9.49，p <0.001）。体重增加不到10公斤的孕妇比新生儿体重增加10-14、14-16公斤和16公斤以上的母亲分娩的新生儿体重更低（113.94、237.62和332.58 gm）。多重回归模型控制了其他孕产妇和新生儿的特征，因此能够证明，体重增加与新生儿出生体重的关系比孕前体重指数更紧密。新生儿出生体重与母亲的工作状态，社会经济状况无关，并且在初产妇和多产妇之间没有区别。结论是，孕前体重指数和产前体重增加与新生儿出生体重有关。这些结果表明，对于提供产前服务的医疗服务提供者来说，孕前BMI和产前体重增加应该是最重要的考虑因素。希望这些发现将为产前护士提供有用的参考，并将加强健康保险部门为确保优质产前护理所做的努力。

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