Effects of Prepregnancy Body Mass Index and Gestational Weight Gain on Pregnancy Outcomes

作者：Cui Hong Zhang, Xiangyu Liu, Yi Zhan, Long Zhang, Yan Huang, Hong Zhou · 发表于：Asia Pacific Journal of Public Health · 年份：2015 · DOI：10.1177/1010539515589810 · 被引用次数：41 · 研究领域：Gestational Diabetes Research and Management、Pregnancy and preeclampsia studies、Maternal and Perinatal Health Interventions

To investigate the single and joint effects of prepregnancy body mass index (BMI) and gestational weight gain (GWG) on pregnancy outcomes, electronic medical records of 14,196 women who delivered singleton live infant at a maternal and child health hospital in Beijing, China, in 2012 were reviewed. Logistic regression was used to assess the associations, adjusting for maternal age, height, education, parity, and offspring sex. Women of high prepregnancy BMI or excessive GWG had higher risks of gestational diabetes mellitus, hypertensive disorders in pregnancy, postpartum hemorrhage, caesarean delivery, macrosomia, and large for gestational age infant, while women of inadequate GWG had higher risks of preterm delivery, low birth weight, and small for gestational age infant. Findings suggest that antenatal care providers should help pregnant women control their GWG to normal.