Tỉ lệ sản phụ tăng cân không phù hợp trong thai kỳ và các yếu tố liên quan tại Bệnh viện Hùng Vương=The rate of inappropriate gestational weight gain and relevant factors at Hung Vuong Hospital

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Tác giả: Thị Thanh Thảo Hoàng, Thùy Linh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.325-333

Bộ sưu tập: Metadata

ID: 243574

Thêm vào giỏ

Determine the rate of gravidae with inappropriate gestational weight gain according to IOM’s (Institute of medicine) 2009 recommendations. Identify related factors and relationships between gestational weight gain and pregnancy outcomes. Methods: Crosssectional study. Gravidae with singleton pregnancies who had their pregnancy monitored, managed and delivered at Hung Vuong hospital from first trimester to delivery date and no more than 7 days postpartum. Results: 354 gravidae with singleton pregnancies who had their pregnancy monitored from the first trimester and delivered at Hung Vuong Hospital. The rate of inappropriate gestational weight gain was 58.8%. Identified 03 factors affecting the level of gestational weight gain (pre-pregnancy BMI, history of pre-term birth, multiparous) and 03 relationships between gestational weight gain and pregnancy outcomes (gestational diabetes mellitus, newborn length >
90th percentile). Conclusion: The rate of inappropriate gestational weight gain is quite high (>
50%). Pre-pregnancy BMI has strong relations to the rate of gestational weight gain. Additionally, history of multiparous and pre-term birth also relates to inapproriate gestational weight gain. The group of gravidae with excessive gestational weight gain also have increased risk of fetal macrosomia. The group of gravidae with inadequate gestational weight gain also have increased risk of gestational diabetes and reduced risk of newborn length above the 90th percentile.Xác định tỉ lệ thai phụ tăng cân không phù hợp theo khuyến nghị của Viện Y học Hoa Kỳ (VYHHK) năm 2009. Xác định các yếu tố liên quan và các mối liên quan giữa mức độ tăng cân trong thai kỳ của sản phụ ảnh hưởng kết cục thai kỳ. Đối tượng và phương pháp: Nghiên cứu cắt ngang mô tả trên đối tượng là nhóm thai phụ mang đơn thai được quản lý từ tam cá nguyệt I đến khi sanh tại Bệnh viện Hùng Vương trong vòng 7 ngày. Kết quả: Phân tích 354 thai phụ mang đơn thai có khám thai định kỳ từ tam cá nguyệt I và nhập viện sinh tại Bệnh viện Hùng Vương. Tỉ lệ tăng cân không phù hợp theo khuyến nghị là 58,8%, có 3 yếu tố có ảnh hưởng đến mức độ tăng cân không phù hợp (BMI trước mang thai, tiền căn sanh non, tiền căn đã sinh con) và 3 mối liên quan đến mức độ tăng cân của thai kỳ và kết cục thai kỳ (ĐTĐTK, con to, trẻ sinh ra có chiều dài >
BPV 90). Kết luận: Tỉ lệ thai phụ tăng cân không phù hợp trong thai kỳ ở mức rất cao (>
50%). BMI trước mang thai có mối liên quan mạnh với mức tăng cân trong thai kỳ. Ngoài ra tiền căn đã sinh con và sinh non cũng có liên quan đến nguy cơ tăng cân không phù hợp trong thai kỳ. Nhóm sản phụ tăng cân trên mức khuyến nghị tăng nguy cơ thai to so với tuổi thai. Nhóm sản phụ tăng cân dưới mức khuyến nghị tăng nguy cơ mắc ĐTĐTK và giảm nguy cơ trẻ sinh ra chiều dài có BPV >
90.

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