妊娠中期产妇生活习惯对其产后体态恢复的影响

Objective To understand the diet and living habit of puerperae in the second trimester of pregnancy and evaluate the positive impact of early individualized intervention on postnatal posture recovery in the second trimester of pregnancy.Methods Retrospective analysis was conducted to the clinical data filed in our hospital of 300 puerperae in the second trimester of pregnancy to make prenatal examination.88 puerperae who were out of contact during follow-up visit or quitted research due to other factors were excluded,and 82 puerperae received early individualized intervention among the rest 212 puerperae (research group).The quantity of puerperae who did not receive early individualized intervention was 130 (control group).All the grouped puerperae lasted for 1 year from follow-up visit postpartum.The diet and living condition were clear by filling in the questionnaire before grouping.According to the pregestational weight,the increased weight of puerperae was recorded during the duration of pregnancy.In addition,the ratios of retaining weight and prenatal weight recovered 1 month,3 months,6 months,9 months and 12 months postpartum were also recorded.Results ①For 212 puerperae in the second trimester of pregnancy,152 puerperae ingested high-energy food (71.7%),102 puerperae ingested dietary fiber (48.1%),146 puerperae had rest on schedule (68.9%),88 puerperae had sleeping time equal or shorter than 8 hours (41.5%),52 puerperae stayed up later for a long time (24.5%),88 puerperae sat still equal or longer than 7 hours every day (41.5%),154 puerperae had appropriate exercise time for shorter than 1 hour every day and 92 puerperae did not have lactation intention postpartum (43.4%).② Compared with the weight increase of two groups in pregnancy and the retaining weight 1 month postpartum,the difference had no statistical significance (P>0.05).③ The retaining weight of puerperae in research group 3 months,6 months,9 months and 12 months postpartum was lower than it in control group [(5.1±1.2) kg VS (6.2±1.1) kg,(4.1±1.4) kgVS (5.5±1.2) kg,(3.9±1.2) kgVS (5.0±1.0) kgand (2.8±0.9) kgVS (4.4±0.9) kg,P<0.05].The proportions of puerperae's weight recovered to prenatal level 9 months and 12 months postpartum in research group were 26.8% and 31.7%,which were 10.0% and 11.5% higher than that of the control group (P< 0.05).Conclusions A part of puerperae in the second trimester of pregnancy have harmful dietary habits and living habits such as unbalanced food ingestion,irregular work and rest time,the time of sitting still was too 1ong that attention should be attached.During the second trimester of pregnancy,early individualized intervention measures to puerperae can effectively recover the postnatal posture,and it's beneficial to reduce postnatal retention rate of weight.

2025-02-19 11:19 点击量:30