The participation of pregnan woment in pregnancy weight management and the effective measures

Objective To explore the effective measures for weight management in pregnant women and their influence on pregnancy outcomes.Methods 240 women with a singleton pregnancy who had a normal body mass index ( BMI ) before gastation or at the first trimester were randomly assigned to study group ( 120 women ),or control group ( 120 women ).Both group received conventional care,training and regular examination,and the study group received additional body weight intervention including reasonable dietary control,proper exercise,and basic perinatal education.Changes in BMI after labor were observed; the effective measures were analyzed and their influence on pregnancy outcomes was assessed.Results Theincidence rates of BMI ≥ 6,gestational hypertension,diabetes,vaginal delivery,fetal macrosomia,fetal distress,and postpartum hemorrhage was lower in the study group than in the control group ( x2=19.437,P＜ 0.01; x2=4.899,P＜ 0.05); x2=6.913,P＜ 0.01; x2=14.564,P＜ 0.001; x2=7.354,P＜ 0.05; x2=4.637,P＜ 0.05; and x2=6.913,P＜ 0.05).Conclusions Participation of pregnant women in pregnancy weight management can effectively reduce the complications during pregnancy and delivery and the rates of Cesarean section and dystocia,significantly improving pregnancy outcomes. Key words: Pregnant women;  Pregnancy weight management