探討孕期體重與妊娠高血壓對生產結果之影響

Please use this identifier to cite or link to this item: https://dyhuir.dyhu.edu.tw/ir/handle/987654321/1448

Title:	探討孕期體重與妊娠高血壓對生產結果之影響
Other Titles:	Examining the impact of gestational weight and gestational hypertension on birth outcomes
Authors:	朱姵臻
Contributors:	朱桂慧
Keywords:	孕期體重;妊娠高血壓;生產結果;pregn ancy weight;gestational hypertension;production results
Date:	2023
Issue Date:	2024-02-16T04:20:18Z
Publisher:	德育學校財團法人德育護理健康學院;健康產業管理研究所
Abstract:	背景：適當的孕期體重增加有助於胎兒的正常發育，但過重或體重不足有可能引起母體健康問題，如妊娠高血壓，而妊娠高血壓則可能對母親和胎兒帶來嚴重的健康風險，包括早產和胎兒生長受限等。目的：探討孕期體重與妊娠高血壓對生產結果之影響。方法：採縱貫性的研究，於第三孕期(29-42週)及產後一個月以結構式問卷進行調查滿二十歲之產婦，共收集193人，問卷包含社會人口學(產婦年齡、職業、教育程度、婚姻狀況)、孕產健康史(流產史、胎次等)、妊娠高血壓、孕期體重、生產結果(生產方式、生產週數、生產合併症、新生兒體重等)。結果：產婦平均年齡32.67±5.11歲，12.9％在孕期有妊娠高血壓的情形，在孕期體重增加10-14公斤有38.8％。大於等於35歲產婦採剖腹生產的比率高於自然生產(63.3% > 25.9%)；有流產史的產婦在生產方式以剖腹產比率高於自然生產 (43.1% >18.6%)；產婦妊娠高血壓的新生兒體重小於2,500公克的比率高於新生兒體重大於(含)2,500公克 (33.3%>11.4%)；產婦孕期體重(增加10-14公斤)的新生兒體重小於2,500公克的比率高於新生兒體重大於(含)2,500公克(66.7% > 36.7%)，皆達統計學上顯著差異(p<0.05)。結論：孕期體重和妊娠高血壓為可改變因子，周產期的孕期體重和妊娠高血壓控制皆是全球性的孕產健康議題，通過護理衛教指導控制產婦體重及妊娠高血壓症?，減輕對妊娠及生產結果的影響，幫助產婦獲得更好的生產?果。 Background：Adequate gestational weight gain is essential for facilitating optimal fetal growth. Nevertheless, it is worth noting that women who exhibit either overweight or underweight conditions before to pregnancy may encounter many health complications, including gestational hypertension. Gestational hypertension has the potential to result in significant health hazards for both the mother and the fetus, including the occurrence of preterm birth and fetal growth restriction. Objective：The objective of this study is to assess the influence of gestational weight and gestational hypertension on birth outcomes. Methods：The researchers utilized a longitudinal study design. A structured questionnaire was employed to conduct a survey on a sample of 193 pregnant women who were 20 years of age or older throughout their third trimester of pregnancy (Weeks 29-42) and one month after giving birth. The survey encompassed sociodemographic information such as the age, occupation, education level, and marital status of the pregnant woman. Additionally, it collected data on the maternal health history, including any history of miscarriage and parity. Furthermore, the questionnaire inquired about gestational hypertension, gestational weight, and various birth outcomes, such as the delivery method, gestational age at delivery, delivery complications, and the birth weight of the neonate. Results：The average age of the participants was 32.67±5.11 years. Gestational hypertension was reported in 12.9% of the participants, while 38.8% gained a weight of 10-14 kg throughout pregnancy. The percentage of pregnant women aged 35 years or older who underwent Cesarean section was found to be significantly greater compared to those who opted for vaginal delivery (63.3% versus 25.9%). Furthermore, it was shown that a greater percentage of individuals who had experienced a previous miscarriage opted for Cesarean section as opposed to vaginal delivery (43.1% compared to 18.6%). The prevalence of neonates with a birth weight below 2,500g was significantly greater in pregnant women diagnosed with gestational hypertension in comparison to neonates with a birth weight of 2,500g or above (33.3% versus 11.4%). The prevalence of neonates with a birth weight below 2,500g was shown to be greater among pregnant women who experienced a gestational weight increase of 10-14kg, in comparison to newborns with a birth weight of 2,500g or higher (66.7% versus 36.7%). Both differences exhibited statistical significance at a significance level of p<0.05. Conclusion：Both gestational weight and gestational hypertension are characteristics that can be modified. Perinatal prenatal weight and the management of gestational hypertension are significant concerns in the field of worldwide gestational health. Hence, the utilization of health education is imperative in managing gestational weight and gestational hypertension in pregnant women, with the aim of mitigating their influence on pregnancy and birth outcomes, ultimately facilitating improved birth outcomes.
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Appears in Collections:	[thesis] 112 thesis

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