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고경심 ( Koh Kyung-Sim ) - 단국대학교 의과대학 산부인과학교실
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Abstract
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-서론-
임산부의 산전관리에서 산모의 체중증가에 대한 조절은 중요한 요소 중의 하나이다. 임신
전 체중은 산모의 영양상태, 운동 등의 환경적 요인뿐만 아니라 유전적 요인도 반영하므로
임산부의 임신 전 체중을 미리 조절하기는 어렵다. 그러나 이미 임신된 임산부에게서 영양
상태를 평가하고 적절한 체중증가를 조절할 수 있다면, 산과적 어려움과 나쁜 임신결과를
예방할 수 있으므로 산전관리에서 필요한 일이다.
산모의 체중이 저체중(Underweight)일 경우 부당경량아(Small for gestational age infant)
가 나올 위험이 높으며, 자궁 내 태아발육지연, 저혈당 및 저체온증을 포함한 신생아 합병증
이 생길 가능성이 높다. 또 빈혈과 조산의 위험이 높다는 보고도 있다. 또 산모가 비만일 경
우 임신성 고혈압, 임신성 당뇨 및 기타 산과적 합병증이 생길 가능성이 높으며, 아울러 부
당과량아(Large for gestational age infant)가 나올 위험이 높다.
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Objective : To examine the influences of pre-pregnancy material body mass index on gestational weight gain and perinatal outcomes.
Methods : We used data collected from 307 pregnant women who delivered fullterm singleton infants without complications in Dankook Uuniversity Hospital form November 1995 to December 1996.
Results : The mean gestational weight gain was 12.7kg. The mean gestational weight gain in the underweight group(pre-pregnancy BMI<19.8kg/m2), in the normal weight group(BMI 19.8∼26.0kg/m2) and in the overweight
group(BMI>26.0kg/m2) was 13.2kg, 12.5kg, and 11.3kg, respectively. The
mean gestational weight gain during the first trimester in the underweight group, in the
normal weight group and in the overweight group was 3.2kg, 1.8kg, and 2.6kg,
respectively. The rate of gestational weight gain during the second and third trimester
was 0.47kg/wk in the underweight group, 0.46kg/wk in the normal weight group and
0.36kg/wk in the overweight group. SGA infants delivered from the underweight group
was more than SGA infants from the normal weight group and LGA infants delivered
from the underweight group was less than LGA infants from the normal weight group.
Pregnancy outcomes, such as infant birth weight, postpartum anemia, frequency of
cesarean section, Apgar score at 1 min. and 5 min., meconium staining and resuscitation
at delivery, showed no significant differences between three groups.
Conclusions : The results suggest that pre-pregnancy BMI influences the total amount and the rate of gestational weight gain. The less pre-pregnancy BMI women have, the more gestational weight gain women undergo, and vise versa. We must focus to check the gestational weight gain according to BMI to ensure the adeguate infant birth weight for prenatal care.
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KeyWords
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body mass index, gestational weight gain, birth weight
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원문 및 링크아웃 정보
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등재저널 정보
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