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目的探讨孕妇孕前肥胖、孕期体重增长过度及遗传因素与娩出巨大儿及超巨大儿的关系。方法对2003年8月～2004年8月在天津市第一中心医院产科分娩的产妇及其配偶进行身高及孕妇孕前、分娩后体重的人体测量学检查并根据所娩新生儿的体重分成巨大儿组、超巨大儿组并随机选取对照组。结果巨大儿组、超巨大儿组父母的肥胖率、尤其母亲孕期体重增加过快者明显高于对照组且其双亲的身材亦高于对照组;超巨大儿组母亲孕前肥胖合并孕期体重增长过度者明显高于其它两组。结论巨大儿、超巨大儿的娩出与遗传有一定的关系更与孕妇孕期体重增长过度有关,超巨大儿的娩出还与其母孕前肥胖且合并孕期体重增长过度的“双肥胖”有关。
Objective To investigate the relationship between pregnant women ’s obesity before pregnancy, overweight during pregnancy and genetic factors and the delivery of huge children and super huge children. Methods From August 2003 to August 2004, gynecology and maternal spouses of obstetric delivery in the First Central Hospital of Tianjin were inspected for their height and body mass of pregnant women before and after giving birth, and were divided into huge children according to the weight of their newborns Group, super giant children and randomly selected control group. Results The incidence of obesity in the giant children and the super giant children was significantly higher than that in the control group especially in the mother’s pregnancy, and their parents’ body was also higher than that of the control group. Was significantly higher than the other two groups. Conclusion Giant children, gigantic child delivery and genetic certain relationship with the increase of pregnant women overweight during pregnancy, gigantic childbirth is also associated with their mother before pregnancy, obesity and pregnancy combined with excessive weight gain “double obesity.”