Study of 445 Puerperants’ Different Intrauterine Environment and Birth Condition of Newborns

Objective:To approach the effect of puerperants’BMI before pregnant, intrauterine risk factors, nutrients intake during pregnancy on birth condition of fetus, biochemical indicators of maternal blood and biochemical indicators of cord blood, to find how disadvantage intrauterine environment affect fetus’growth.Methods:Analysis was made for 445 pregnant women in the maternal and child health hospital in Yiwu city from January 1st 2010 to August 1st 2010. The pregnant women were pregnant for 36 to 37 weeks, and did their prenatal check-up and dilivery in this hospital. Investigations were made on general state, birth condition, biochemical indicator of maternal blood and cord blood,54 cases of them did investigation of nutrients intake, then collected and arranged datas, recorded for statistical analysis.Results:Inside these 445 cases puerperants, there were 84 cases in marasmus group, 327 cases in normal group and 7 cases in obesitas group, there were 29 cases in high risk group and 416 cases in control group. During delivery,230 cases were eutocia, 215 cases were dystocia, there were 213 cases with placenta, amniotic fluid or umbilical cord problem, there were 232 cases without placenta, amniotic fluid and umbilical cord problem. Inside 445 cases newborns, there were 4 cases low birth weight infants,420 cases normal birth weight infants and 21 cases large for date infants. The large for date infants’ birth rate of obesitas group exceeded to marasmus group and normal group, the newborn birthweight of obesitas group significantly exceeded to marasmus group and normal group (P<0.01). In the results of biochemical indicators of 445 cases maternal blood, ApoA/ApoB and insulin significantly upgraded when BMI before pregnant upgraded(P<0.01), while HDL-CH significantly degraded when BMI before pregnant upgraded (P<0.05), lipoprotein-a of marasmus group was significantly higher than obesitas group (P<0.05). In the results of biochemical indicators of 445 cases cord blood, lipoprotein-a of marasmus group was significantly higher than normal group (P<0.05), triglyceride of marasmus group was significantly higher than obesitas group (P<0.05), glycosylated hemoglobin of marasmus group was significantly higher than obesitas group (P<0.05). The average newborn birth weight of high risk group exceeded to control group, so as the birth rate of low birth weight infant and large for date infant, but no significant differences between 2 groups. There were no significant differences on biochemical indicator of maternal blood and cord blood between high risk group and control group (P>0.05) Compared with low birth weight infants group and normal birth weight infants group, large for date infants group exercise least, and with the highest blood pressure during pregnancy, its average contractive pressure during pregnancy is significantly higher than normal birth weight infants group. There were no significant differences on biochemical indicator of maternal blood and cord blood between low birth weight infants group, normal birth weight infants group and large for date infants group (P>0.05).The total energy and carbohydrate intake of 54 investigated cases were less than recomm intake, the protein and fat intake were more than recomm intake. Inside these 54 cases, there were 6 large for date infants’mothers and 48 normal birth weight infants’ mothers, the total energy and three nutrient substances intake had no significant differences between this two groups (P>0.05).There were no significant differences on total energy and three nutrient substances intake between biochemical indicators abnormal group and biochemical indicators normal group (P>0.05)Conclusions:Pregnant women’s meal in Yiwu city contains high protein and high fat.The birth weight of infants upgrade while puerperants’BMI before pregnant upgrades. HDL-CH of maternal blood and cord blood significantly degrades while puerperants’ BMI before pregnant upgrades, its an independent early warning factor of MS.