Analysis Of Correlative Factors Of Fetal Macrosomia Based On Community Population And Research On Growth And Development Of 0?3 Years

Part I Comparent in growth and development between macrosomia and normal birth weight infantsObjective:To investigate growth and development of macrosomia and normal weight infants in 0?3 years old.Methods:The infants registered in district of Gongshu horned between Jan.2011 to Dec.2013 and regular physical were selected.There were 97 infants with birth weight more than or equal to 4000g named macrosomia group,291 normal birth weight infants at 3 times of fetal macrosomia within the same time and the same sex named normal weight group.Observe two groups on stature,weight,fontanel,teething,anemia,breast feeding,language and behavior development and so on,at 28 days,3 months,6 months,12 months,18 months,24 months,30 months,36 months.Results:The macrosomia group had 61 infants of breastfeeding,62.89%,the average duration of breastfeeding was 7.7 months;The normal weight group had 191 infants of breastfeeding,65.64%,the average duration of breastfeeding was 7.2 months.There were no significant different when compare with two groups(P>0.05).The height,head circumference of the macrosomia group of 0?3 years old were greater than that of normal weight group(P<0.05).The weight of macrosomia group was bigger than the normal weight group in 0?3 month and 30?36month(P<0.05),In 3?30month,there were no significant different in the two groups.The incidence of overweight and obesity in the macrosomia group was 37.11%,more than the normal weight group(22.34%)(P<0.05).The average age of baby teeth erupting was(7.81±1.83)months in macrosomia group earlier than the normal group(8.56±2.35)months(P<0.05).There were no significant different in two groups on baby teeth all(P>0.05).The incidence of rib overturning was15.46%in macrosomia group more than the normal group(7.56%),there were significant different in two groups(P<0.05).There were no significant different in two groups on iron-deficiency anemia,language development,behavioral development(P>0.05).Conclusion:The two group's bresst-feeding is similar.The macrosomia's body grows more than normal weight and more have obesity or rib overturning,but there were no significant different on language development,behavioral development between in two gyoups.Partn ? Analysis of factors affecting the occurrence of fetal macrosomia on community populationObjectives:Study the correlative factors of fetal macrosomia on community population,to provide some instructions for reducing the occurrence of macrosomia.Methods:The maternal health care book was set up at the Daguan community hospital from 2009 to 2014,with acomplete record of the birth and the return of the health care to the pregnant women of the community hospital.The168 fetal macrosomia were selected for the large group,and 1892 normal weight groups were selected for the normal weight group.The two groups compare each other from a few aspects:pregnant women's household,registration,age,educational background,job type,blood type,oral contraceptives 3 months before pregnancy,spontaneous abortion,abortion,uterine fibroids,ovarian tumors,fertilization way,the number of pregnancy,the number of births,early threatened abortion,pre-pregnancy body mass index(BMI),the gestational weight gain(GWG),hypertension in pregnancy,GDM,Hyperthyroidism in pregnancy,Hypothyroidism in pregnancy,gestational age,the season delivery method,sex of fetus.Results:The permanent population is more likely to be deliver macrosomia than the floating population.The incidence of fetal macrosomia in assisted conception larger than in normal conception.The pre-proportion of overweight,obesity,weight gain during pregnancy,the proportion of male fetuses,gestational week,the incidence of cesarean section in the macrosomia group were higher than normal weight group,the differences between the two groups have statistical significance P<0.05.There were no significant different,when compare with two groups on pregnant women's household,registration,age,educational background,job type,blood type,oral contraceptives 3 months before pregnancy,spontaneous abortion,uterine fibroids,ovarian tumors,the number of pregnancy,the number of births,early threatened abortion hypertension in pregnancy,GDM,Hyperthyroidism in pregnancy,Hypothyroidism in pregnancy(P>0.05).Conclusion:Effects on macrosomia were excessive weight gain,higher BMI before pregnancy and assisted reproduction.The pre-pregnancy and pregnancy weight management,it has a positive effect on reducing the occurrence of the macrosomia.With the increase of gestational age,the male fetus also causes the macrosomia increase.Positive treatment of expired pregnancy,reduced cesarean section rate.