Analysis of Perinatal Outcomes and Pregnancy Complications at the Third Trimester in Excessive Fast Weight Gain Pregnant Women Who Had Normal 75g OGTT at the Second Trimester
- VernacularTitle:妊娠中期OGTT正常的孕妇妊娠晚期体质量增长过快对妊娠期并发症及围生期结局的影响
- Author:
Wei DONG
1
;
Lihong CHEN
;
Lirong YIN
Author Information
1. 天津医科大学第二医院
- Keywords:
Third trimester;
Body quality growth;
Gestational diabetes mellitus;
Pregnancy complications;
Perinatal outcome
- From:
Journal of Practical Obstetrics and Gynecology
2017;33(11):852-855
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analysis perinatal outcome and pregnancy complications in the third trimester in excessive fast weight gain pregnant women who had normal 75 g oral glucose tolerance test(OGTT) at the second trimester.Methods:422 pregnant women who examined and delivered in Department of Obstetrics,the Second Hospital of Tianjin Medical University from October 2015 to September 2016 were selected randomly for this study.All of them had normal pre-pregnancy body mass index (BMI) and 75 g OGTT test at 24-27 +6 gestational weeks.Mass growth more than 4000 g from 28-36 gestational weeks (average mass growth rate ≥500 g/w) were enrolled in study group(n =103),while others were included in control group(n =319).Statistical analysis was performed by t test and x 2 test.Results.The incidence rate of Gestational diabetes mellitus(GDM) (7.8％),gestational hypertensive (6.8％),mild preeclampsia (4.9％),premature rupture of membranes (PROM)(12.6％) and polyhydramnios(4.9％) in study group was significant higher than those in control group (2.8％,2.5％,1.9％,7.2％,1.3％).The rate of cesarean section (39.8％),macrosomia (10.7％),and neonatal hypoglycemia(4.9％)in study group was significant higher than those in control group (34.2％,6.0％,2.5％).The average birth weight in the study group was significant higher than that in the control group(3677-±351 g vs 3328 -±367g,P＜O.01).There was no significant difference in Apgar score between two groups(P ＞0.05).Conclusions:In the second trimester 75 g OGTT test normal pregnant women,poor diet and exercise management and excessive fast weight gain may increase the incidence of pregnancy complications and poorer perinatal outcomes.
