The Study Of The Relationship Between The Pregnant Women With Gestational Diabetic Of Body Composition And Neonatal Birth Weight

Objective Analysis the change of weight and body composition on the pregnant women with gestational diabetes in Suzhou, and study the relationship between the weight of neonatal and the weight or body composition of pregnant women, to provide a certain scientific basis for the health of pregnant women and their newborns.Methods By using the prospective study, according to the diagnosis standard of gestational diabetes mellitus(GDM), 50 cases of GDM pregnant women and 55 cases of the normal pregnant women with single active pregnancy which was randomly selected from the first Affiliated Hospital of Suzhou University between October 2015 and February 2016.Because of the lack of information, and finally there are 43 cases of GDM pregnant women and 43 cases of the normal pregnant women in this study. The research methods is that examing the chage of body composition with individual nutrition detection analyzer(NQA-Pplus)in the period of 36 to 38 weeks of gestation, and longitudinal tracking the information such as baby’s birth weight from hospital records. Using the SPSS17.0software, the quantitative data issx ±, the difference in GDM pregnant women and the normal pregnant women was expessed with t-test, Pearson correlation analysis, linear correlation analysis and stepwise regression analysis to analysis the relationship between the gestational diabetic pregnant period of body composition and neonatal birth weight(NBW). Statistical analysis(P<0.05) shows that analysis have statistical significant.Results1. Basic information of GDM pregnant women.GDM pregnant women, age range 20 to 44 years; height range is 155 cm to 173 cm, women’s weight range is 44 kg to 75 kg. The delivery condition of the cases was tracked as follows: the full term deliveries cases is 28, accounted for 53.5%, 20 cases of caesarean section afer term pregnancy, accounted for 46.5%. The normal pregnant women, age range22 to 38 years; height range is 150 cm to 170 cm, women’s weight range is 40 kg to 70 kg.The delivery condition of the cases was tracked as follows: the full term deliveries cases is31, accounted for 72%, 12 cases of caesarean section afer term pregnancy, accounted for28%.2. Basic information of the newborn.The included in the statistics of the pregnant women were singleton pregnancy, GDM pregnant women: There are 24 baby boys in the 43 newborns, accounted for 55.8%, The number of baby girl is 19, accounted for 44.2%; the newborn’ weight range is 2570 g to4150g, including 4 macrosomia(birth weight ≥ 4000 g), accounted for 9.3%. The normal pregnant women: There are 22 baby boys in the 43 newborns, accounted for 51.2%, the number of baby girl is 21, accounted for 48.8%; the newborn’ weight range is 2960 g to3800g.3. The difference between the body composition of GDM pregnant women and the normal pregnant women, and their newborns’ weight.The independent samples t-test showed that the body composition of the two groups of pregnant women had statistical significance difference(P <0.05), the body composition including protein, overall water, intracellular fluid, extracellular fluid, body fat percentage,body fat, lean body mass and muscle mass. Their newborns had also statistical significance differences(P <0.05), the average weight of newborns in GDM group was higher than normal pregnant women.4. The relationship between the weight of neonatal and the GDM pregnant women’s basic condition.Bivariate Pearson statistical was used to analysis data of pregnant women, maternal age, pre pregnancy weight, BMI before pregnancy and neonatal birth weight had no correlation(P > 0.05), the height of pregnant women and neonatal birth weight had correlation(P < 0.05).5. The relationship between the weight of neonatal and the GDM pregnant women’s body composition.The body compositions of GDM pregnant women in late pregnancy were analyzed. In bivariate Pearson statistical analysis, the correlation between mother’s pregnancy weight,pregnancy BMI, basal metabolic rate, overall water, cells in the liquid, the extracellular fluid, body fat, body fat percentage, inorganic salts and newborns’ birth weight had no statistical significance(P > 0.05); neonatal birth weight is correlated with the growth of the maternal weight during pregnancy, protein and muscle mass(P<0.05). The correlation between the growth of weight, protein and neonatal birth weight was significant(P<0.01).Through linear regression analysis and stepwise regression analysis showed that the protein has great effect on birth weight.Conclusions1.There have difference between the body composition of GDM pregnant women and the normal pregnant women.2.The increase of maternal body weight during pregnancy with GDM is related to the body composition and changes of composition.3.Body composition of pregnant women with GDM is related to fetal growth and birth weight.4.Mothre’s protein is a predictor of birth weight in newborn babies.