The role of antenatal education for the prevention of excessive weight gain during pregnancy.

IF 1 Q2 Medicine Minerva ginecologica Pub Date : 2019-12-01 DOI:10.23736/S0026-4784.19.04449-6

Roberta Amadori, Carmela Melluzza, Alessia Motta, Alberto De Pedrini, Daniela Surico

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引用次数: 1

Abstract

Background: Excessive weight gain (EWG) during pregnancy is associated to adverse maternal-fetal outcomes. The aim of this study was to analyze the situation in a single high intensity care center in Eastern Piedmont, north of Italy.

Methods: This is a cohort study including 715 patients classified into four classes corresponding to pregestational BMI values. Based on the WHO's weight gain for each class, women were subdivided into three groups: inadequate, adequate and excessive increase.

Results: EWG was significant in overweight (43.9%) and obese women (37.3%). There was a significant correlation with gestational diabetes (P=0.046), hypertension (P=0.0001), preterm birth (P=0.047), intake of antihypertensive drugs (P=0.0001), maternal study degree (P=0.005), profession (P=0.015), civil status (P=0.003), parity (P=0.039) and paternal ethnicity (P=0.027). Participation at antenatal education for childbirth (AEC) had a positive impact leading to an appropriate weight gain (P=0.004).

Conclusions: If adequately counselled, women understand the consequences of excessive weight gain during pregnancy, comply more to therapy and modify their lifestyle.

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产前教育对预防孕期体重过度增加的作用。

背景:孕期体重过度增加(EWG)与不良的母胎结局有关。本研究的目的是分析意大利北部东部皮埃蒙特单一高强度护理中心的情况。方法:这是一项队列研究，包括715例患者，根据妊娠期BMI值分为四组。根据世界卫生组织对每个阶层的体重增加情况，女性被细分为三组:不充分、适当和过度增加。结果:EWG在超重(43.9%)和肥胖(37.3%)女性中有显著性意义。与妊娠期糖尿病(P=0.046)、高血压(P=0.0001)、早产(P=0.047)、降压药摄入(P=0.0001)、母亲学历(P=0.005)、职业(P=0.015)、公民身份(P=0.003)、胎次(P=0.039)、父亲种族(P=0.027)有显著相关。参加产前分娩教育(AEC)对适当的体重增加有积极影响(P=0.004)。结论:如果得到充分的咨询，妇女就会了解孕期体重增加过多的后果，更愿意接受治疗并改变自己的生活方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva ginecologica OBSTETRICS & GYNECOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： The journal Minerva Ginecologica publishes scientific papers on obstetrics and gynecology. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.

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