The Relevant Research Of Walking Exercise On Gestational Weight Gain And Pregnancy Outcome During Pregnancy

Objective To investigate the effect of individual exercise program on pregnancy weight gain(GWG)and pregnancy outcome.Methods Based on the specific rules,328 cases of pregnant women who create the profiles in a three-level hospital obstetrics clinic in Wuhan from August 1,2017 to July 31,2018 are taken as the research object.They are divided into the control group(n=165)which receive antenatal routine inspection and the intervention group(n=163)which receive individualized exercise program,and then we track the whole pregnancy movement,pregnancy weight gain and pregnancy outcome.During the mid-pregnancy,we obtain the dietary intake data through three consecutive 24-hour dietary retrospective method combined with dietary frequency method,and compare the dietary intake,weight gain,the pregnancy outcome and make the correlation analysis.Results In both the intervention group and control group,the intake of food reach the recommended intake include the potato cereal and miscellaneous beans,fish and shrimp,salt,fruit,livestock and poultry meat.There was no statistically significant difference in food intake between the control group and the intervention group(P>0.05).153(46.65%)pregnant women had excessive weight gain,among which 113?(68.49%))pregnant women in the observation group had insufficient weight gain during pregnancy,113(68.49%)pregnant women had excessive weight gain during pregnancy,and 40(24.24%)pregnant women had reasonable weight gain during pregnancy.In the intervention group,22(13.50%)pregnant women had insufficient weight gain during pregnancy,40(12.46%)pregnant women had excessive weight gain during pregnancy,and 101(61.69%)pregnant women had reasonable weight gain during pregnancy,with statistically significant differences(~2=64.15,P<0.05).Logistic regression analysis show that GWG is significantly correlated with exercise in early,middle and late pregnancy.There were 40 cases of pregnant women in the observation group who chose cesarean section to end their delivery,and 23 cases of pregnant women in the intervention group who chose cesarean section,the difference between the two groups was statistically significant(~2=5.424,P=0.02).There were10 cases of gestational diabetes in the observation group and 3 cases in the intervention group.The difference between the two groups was statistically significant(~2=3.836,P=0.044).In terms of neonatal outcome,3 cases of macrosomia were found in the intervention group,which was significantly lower than the 19 cases in the observation group,and the difference between the two groups was statistically significant(~2=12.265,P<0.01).Conclusion The implementation of individualized exercise program can control the pregnancy weight gain more effectively,and improve the adverse pregnancy outcome.Scientific and effective individualized exercise guidance during pregnancy is benefit for the pregnancy weight management,and reduce the incidence of pregnancy complications,improve the birth rate and pregnancy quality.