PDF(Pubmed)
Abstract：
Background. Gestational weight gain (GWG) constitutes an essential aspect of the gestational process. Due to factors such as pregestational body mass index (BMI), nutritional intake, level of physical activity, and psychological aspects, the recommended GWG may not be achieved, leading to adverse neonatal outcomes. Adolescents, due to their physiological and mental developmental stage, are at a higher risk of inappropriate GWG. Our aim is to highlight the importance of GWG in our population and to determine the correlation with perinatal outcomes. Methods. Pregnant adolescents who attended a tertiary care institution for prenatal care were included; maternal data such as preBMI and GWG were used to determine maternal and neonatal outcomes using the chi-square test and OR determination. Results. A total of 202 adolescent pregnant patients were included, comprising those with inadequate GWG (n = 70), adequate GWG (n = 85), and excessive GWG (n = 47). A statistically significant association was found between low BMI and inadequate GWG. Patients with inadequate GWG demonstrated a correlation with IUGR and low birth weight, while patients with excessive GWG gave birth to macrosomic neonates. Conclusion. We concluded that previous habits play a significant role in determining weight gain throughout pregnancy. GWG has a direct impact on neonatal growth and development.
摘要：
背景。妊娠体重增加（GWG）构成了妊娠过程的重要方面。由于孕前体重指数（BMI）等因素，营养摄入，体力活动水平,和心理方面，建议的GWG可能无法实现，导致不良的新生儿结局。青少年,由于他们的生理和心理发育阶段，不适当GWG的风险较高。我们的目标是强调GWG在我们人群中的重要性，并确定与围产期结局的相关性。方法。包括在三级护理机构接受产前护理的怀孕青少年；使用孕妇数据，如preBMI和GWG，使用卡方检验和OR测定来确定母婴结局。结果。共纳入202名青少年怀孕患者，包括那些GWG不足的(n=70)，足够的GWG（n=85），和过多的GWG(n=47)。在低BMI和不足的GWG之间发现了统计学上的显着关联。GWG不足的患者表现出与IUGR和低出生体重的相关性，而GWG过多的患者生下了巨大的新生儿。结论。我们得出的结论是，以前的习惯在决定整个怀孕期间的体重增加中起着重要作用。GWG对新生儿生长发育有直接影响。
