Study On The Correlation Between The Pregnancy Weight Management Of Elderly Parturient Women And The Incidence Of Macrosomia

Objective The aim of the paper is to analyze the reasons and related factors which lead to the occurrence of macrosomia with elderly parturient women, and discuss how to reduce the incidence of macrosomia with elderly parturient women, then to explore ways of health education for the eugenics and reducing the complications of elderly parturient women.Methods With their consent, 100 cases of elderly parturient women who meet criteria will be randomly divided into observation group and control group with 50 cases each group. While the routine prenatal care examination is received by the observation group, health education of weight management is designed and the related knowledge manual is distributed at the same time. Then the implementation of the program is supervised. Besides, the follow-up visits and related questions answering can be done through WeChat and telephone at any time anywhere; the control group will receive routine obstetric examination and nursing care.When all the research objects are in the 12 weeks of pregnancy, the natural basic situation, height and weight of the them would be recorded, then the body mass index was calculated and the baseline assessment is carried out. Then the observation group would receive weight management program, and the weight changes, body mass index would be recorded at the time of 20 weeks , 28 weeks,36 weeks of gestation. And at last, record the prenatal weight, delivery mode,neonatal weight and gender, etc.Results 100 cases of elderly parturient women are included in the study,but ten of them are excluded because of being transferred to another hospital and delivery. So there are 90 cases of elderly parturient women being studied in fact,with 47 cases in the observation group and 43 cases in the control group. The incidence of macrosomia in the observation group is 8.51%, which is lower than that in the control group (25.58%) . And there is statistical significance in the difference between the two groups (P<0.05).And the cesarean section rate of the observation group is 22%, which is lower than that in the control group(51.16%) . And there is statistical significance in the difference between the two groups (P<0.05). The weight and maternal body mass in the observation group are lower than those in the control group. And there is also statistical significance in the difference between the two groups (P< 0.05). And the number of elderly parturient women in the observation group, whose △BMI value is smaller than 7, is larger than that in the control group. And there is statistical significance in the difference between the two groups as well(P<0.05). While there is statistical significance in the difference of the natural basic situation, the pre-pregnancy body mass index, eonatal sex , macrosomia gender and pregnancy cycle between the two groups of elderly parturient women(P>0.05).Conclusion In this research, the weight management program adopted is a measure, which can to effectively control the weight not to gain too quickly during pregnancy for elderly parturient women and reduce the incidence of macrosomia and cesarean section rates. It is of great significance for the nursing research and clinical nursing work.