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首页> 外文期刊>Sao Paulo Medical Journal >Association between maternal and fetal weight gain: cohort study
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Association between maternal and fetal weight gain: cohort study

机译：孕妇和胎儿体重增加之间的关联：队列研究

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CONTEXT AND OBJECTIVE: Excessive gestational weight gain is related to many complications (both maternal and fetal), such as macrosomia. The most common complications in macrosomic fetuses include: increased risk of intrauterine death, need for intensive care, fractures, neonatal hyperbilirubinemia, paralysis of the brachial plexus and obesity in childhood and adulthood. The aim of this study was to evaluate the association between gestational and fetal weight gain and the incidence of macrosomia in two maternity hospitals. DESIGN AND SETTING: Cohort study in two public maternity hospitals in Goiania, Brazil. METHODS: This was a cohort study on 200 healthy pregnant women with normal body mass index, divided into two groups: one with normal weight gain and the other with excessive weight gain during pregnancy. RESULTS: The cohorts were similar regarding maternal age, per capita income, schooling level and reproductive behavior. The fetal weight was greater in the cohort with excessive maternal weight gain (3,388.83 g ± 514.44 g) than in the cohort with normal weight (3,175.86 g ± 413.70 g) (P < 0.01). The general incidence of macrosomia was 6.5%: 13.0% (13 cases) in the cohort with excessive maternal weight gain and 0.0% (0 cases) in the cohort with adequate weight gain. CONCLUSION: Excessive maternal weight gain was associated with increased fetal birth weight and incidence of macrosomia.
机译：背景与目的：妊娠期体重增加过多与许多并发症（母亲和胎儿）有关，例如巨大儿。大体胎儿的最常见并发症包括：宫内死亡的风险增加，需要加护病房，骨折，新生儿高胆红素血症，臂丛神经麻痹和儿童期和成年期肥胖。这项研究的目的是评估两家孕妇医院的妊娠体重增加和胎儿体重增加与巨大儿发生率之间的关系。设计与地点：在巴西戈亚尼亚的两家公立妇产医院进行队列研究。方法：这是一项针对200名体重指数正常的健康孕妇的队列研究，分为两组：一组体重增加正常，而另一组妊娠期间体重增加过多。结果：在产妇年龄，人均收入，受教育程度和生殖行为方面，队列相似。产妇体重增加过多的队列中的胎儿体重（3,388.83 g±514.44 g）大于正常体重的队列中的胎儿体重（3,175.86 g±413.70 g）（P <0.01）。巨大儿的一般发生率为6.5％：孕产妇体重增加过多的人群为13.0％（13例），体重适当增加的队列为0.0％（0例）。结论：孕妇体重增加过多与胎儿出生体重增加和巨大儿发生率有关。

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