Publication: น้ำหนักที่เพิ่มขึ้นขณะตั้งครรภ์กับทารกแรกเกิดน้ำหนักต่ำกว่าปกติ
Issued Date
2546
Resource Type
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tha
ISSN
0125-1252
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มหาวิทยาลัยมหิดล
Bibliographic Citation
วชิรเวชสาร. ปีที่ 47, ฉบับที่ 2 (2546), 123-131
Suggested Citation
วิศิษฎ์ ฉวีพจน์กำจร, ณัฐจาพร พิชัยณรงค์ น้ำหนักที่เพิ่มขึ้นขณะตั้งครรภ์กับทารกแรกเกิดน้ำหนักต่ำกว่าปกติ. วชิรเวชสาร. ปีที่ 47, ฉบับที่ 2 (2546), 123-131. สืบค้นจาก: https://repository.li.mahidol.ac.th/handle/20.500.14594/2468
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Title
น้ำหนักที่เพิ่มขึ้นขณะตั้งครรภ์กับทารกแรกเกิดน้ำหนักต่ำกว่าปกติ
Alternative Title(s)
Maternal weight gain and the occurrence of low birth weight
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Abstract
Objective: To study the relation between maternal weight gain during pregnancy and the occurrence of infant low birth weight. Study design: Prospective cohort study. Setting: Four Maternal and Child Hospitals ( Ratchaburi, Khon Kaen, Yala and NaKhon Sawan) and Rajvithi Hospital. Subjects: Two thousand and three hundred pregnant women who attended prenatal services and delivered at 4 Maternal and Child Hospitals and Rajvithi Hospital during 9 months between 1st July 1995 and 31st March 1996. Methods: Data were collected by questionnaires, record forms and medical instruments which comprised 3 parts: part 1 general characteristics including demography and socio-economy, part 2 specific information including gestational age, history of illness during pregnancy, and part 3 measurement data including body weight, height, blood pressure etc. The obtained data were analyzed by statistical program. Main outcome measures: Mean and standard deviation of body mass index before pregnancy and delivery, weight gain during gestational age and infant birth weight. Results: Group of weight gain during pregnancy < 12 kg had the proportion of LBW higher than groups of 12- 16 kg and > 16 kg (p = 0.012, p = 0.025). The average of weight gain in LBW group was less than the other one (p < 0.001). Group of BMI at delivery < 25 kg/m2 had the proportion of LBW higher than group of BMI ≥ 25 kg/m2 (p = 0.001). Group of being pregnancy-induced hypertension and group of pre-term birth had the proportion of LBW higher than group of none (p < 0.001, p = 0.001). Conclusion: Pregnant women of weight gain < 12 kg and BMI at delivery < 25 kg/m2 had chance more likely to develop LBW than other groups. Therefore, appropriate control of body weight during pregnancy was the essential measure to decrease the occurrence of LBW.