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The Relationship of Pregnancy-Induced Hypertensive Disease with Preconception Body Mass Index and Pregnancy Weight Gain |
LI Minyi |
Department of Obstetrical, Guangdong Foshan Nanhai District People's Hospital,Foshan Guangdong 528225 |
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Abstract 【Objective】To investigate the correlation of pregnancy-induced hypertension disorders of pre-pregnancy body mass index (BMI) and pregnancy weight gain. 【Methods】A total of 100 pregnant women who received regular birth check-up in our hospital from April 2022 to April 2023 were selected and divided into the obese and overweight groups (group A, obesity BMI≥28 kg/m2 and overweight 24 kg/m2 ≤BMI<28 kg/m2), low BMI group (group B, BMI < 18.5 kg/m2), and normal BMI group (group C, 18.5 kg/m2≤BMI < 24.0 kg/m2)according to pre-pregnancy BMI calculation. According to the weight gain during pregnancy, they were divided into the insufficient weight gain group, suitable weight gain group and excessive weight gain group. The incidence of hypertensive diseases during pregnancy was compared among all groups. Spearman was used to analyze the correlation of pregnancy hypertension with pre-pregnancy BMI and pregnancy weight gain. 【Results】The incidence rate of pregnancy-induced hypertension, mild preeclampsia and severe preeclampsia in group A was higher than that in group B and group C, with statistical significance (P<0.05). The incidence of hypertension, mild preeclampsia and severe preeclampsia in the excessive weight gain group were higher than those in the appropriate weight gain group and the insufficient weight gain group, and the difference was statistically significant (P<0.05). Pre-pregnancy overweight and obesity plus excessive weight gain during pregnancy were significantly associated with pregnancy-induced hypertension (P<0.05). 【Conclusion】Pre-pregnancy overweight, obesity and excessive weight gain during pregnancy are risk factors for pregnancy-induced hypertension in pregnant women. Obstetrical health care workers should attach great importance to and strengthen the popularization and education of pre-pregnancy and pregnancy weight management knowledge for women of childbearing age, especially overweight and obese women.
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Received: 11 October 2024
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