Effect Of Normal Body Mass Index Abdominal Obesity Before Pregnancy On Maternal And Fetal Pregnancy Outcom

Objective:By observing the effect of normal BMI(body Mass index,bmi)abdominal obesity on maternal and fetal outcomes,this study evaluated the harmful effects of fetal obesity on maternal and fetal health,which caused medical personnel and pregnant women to pay attention to the normal BMI but abdominal obesity population before pregnancy,Strengthen this part of the population before pregnancy physical exercise,reasonable allocation of the type of diet and intake,emphasizing its control of weight gain during pregnancy,reasonable diet,moderate physical activity,increase the number of prenatal examination,to a large extent,reduce the incidence of adverse maternal and child outcomes.Method:Selected January 2016-August 2016 pregnancy 5-8 weeks in Shandong province Taian Taishan Medical University Affiliated hospital obstetrics carries on the prenatal examination,the establishment file and in the hospital childbirth’s BMI normal range 624pregnant women as the research object.All the subjects included in this study were complete and screened the data with reference to the definition of the World Health Organization and Health Canada’s guidelines for women’s prior pregnancy weight,recommended BMI 18.50-24.99 kg/m~2 as the weight range of normal women;International Diabetes Federation(IDF)points out that the waist value of women in China≥80 cm is abdominal obesity.114 cases of abdominal obesity with normal body mass index before pregnancy were screened and 520 cases of normal non abdominal obesity were observed in the control group,with the consent of the Hospital Ethics Committee and the patient’s informed consent.Through statistical analysis of the indicators of the two groups of pregnant women,to observe the occurrence probability of maternal and infant adverse pregnancy outcome,the main indicators of which are specific diseases during pregnancy(gestational diabetes mellitus,pregnancy-specific hypertension disease),premature rupture of membranes,postpartum hemorrhage,incidence of preterm birth,and the occurrence of fetal.Result:1.Before pregnancy normal BMI abdominal obesity group age,before the pregnancy BMI,the initial yield,the total pregnancy weight increase situation and before the pregnancy normal BMI is not abdominal type obese group(p>0.05),the difference does not have the statistical significance.2.The incidence of pregnancy-induced hypertension,gestational diabetes mellitus,premature rupture of membranes and preterm birth was significantly higher than that of normal BMI before pregnancy(p<0.05),and the difference was statistically significant.3.The probability of the occurrence of giant children before pregnancy was significantly higher than that of normal BMI before pregnancy(p<0.05).4.The incidence rate of neonatal asphyxia before pregnancy normal BMI abdominal obesity population than normal BMI before pregnancy is not abdominal obesity,but p>0.05,the difference is not statistically significant.Conclusion:Pregnant women with normal BMI when they were not pregnant had special hypertension during pregnancy,gestational diabetes mellitus,premature rupture of membranes and postpartum hemorrhage were significantly higher than normal MBI non-abdominal obesity in pregnant women,before pregnancy normal BMI abdominal fat fetus delivery overweight ratio and preterm infant ratio is significantly higher than normal before pregnancy BMI is not abdominal obesity group,so although BMI is in normal range before pregnancy,abdominal obesity will affect the incidence of maternal and child adverse pregnancy outcomes,therefore,in the prenatal to this group of targeted physical exercise,adjust the diet structure,reasonable diet,balanced nutrition,significantly reduce the incidence of abdominal obesity before pregnancy,at the same time for the early Normal BMI but abdominal obesity in pregnant women to strengthen the number of prenatal examination,adjust the diet structure,increase the high calcium,High-protein,low-fat diet,reduce high sugar,high fat intake,a certain level to reduce maternal and child adverse pregnancy outcomes.