Relationship between Preconceptional Maternal Weight, Pregnancy Weight Gains, Life Style and Birth Outcomes

• Main Authors: Chao-Hui Li, 李昭暉
• Other Authors: Meei-Ling Gau
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/07675837473391297487

碩士 === 國立臺北護理學院 === 護理助產研究所 === 99 === This research investigated relationship between preconception weight, pregnancy weight gain for the lifestyle and the birth outcomes. The author employed a descriptive correlational approach and collected data using a retrospective method. Convenience sampling. Pregnant womem registered at the maternity outpatient department in one of medical center in Taipei were targeted by this research. The author using a structured questionnaire to collect data. The instruments included demographic characteristics, lifestyle scale, pre-pregnancy stress scale. SPSS for Window 17.0 statistical software for data analysis. The results showed: First:Preconception weight, preconception BMI and related to the results of mother’s birth outcomes: the deliveries’s complications and preconception BMI (Z =- 2.56, p =. 01) with statistical difference. Total blood loss and preconception weight (r =. 10, p =. 03) / preconception BMI (r =. 14, p <.01) with weak positive correlation.Preconception weight and BMI before pregnancy and neonatal birth outcomes independent ( p> .05). Second, Premature newborns’s mothers weight gain less than full-term newborns’s mothers in the second trimesterof pregnancy (Z =- 2.08, p =. 04) and throughout pregnancy (Z =- 4.37, p <.001 ) . Third, early pregnancy and maternal and neonatal life style production independent of the outcomes (p> .05). Fourth, using the multiple logistic regression analysis, predictors of the mode of production showed that complications during pregnancy and pregnancy weight gain 22 weeks of predictable, with complications during pregnancy were found to have a higher probability of adoption of non-vaginal natural production ( OR = 2.210, p =. 009, 95% CI = 1.139-4.288), and 22 weeks of pregnancy weight, will increase for each additional 0.878 kilograms of natural production of non-vaginal cancer. Study suggests that: Nearly half of the women weight gain inappropriate (too heavy or too light), showing appropriate increase in weight of pregnant women need to strengthen health education and monitoring, the proposed building of individual body weight of pregnant women for check electronic information management system. Suggestions for future research: the results of this study the production of involvement by many factors influence health care policy, so the future for such a study the hospital should consider whether the case received health promotion or tender for the implementation of delivery plans of hospitals. Key words: preconception weight, preconception body mass index, pregnancy weight gain, birth outcomes