孕期营养干预对胎儿体重的影响

Effect of prenatal nutrition intervention on fetal weight

目的:探讨孕期营养干预对胎儿体重的影响。方法:将2014年1月至2016年12月来我院进行孕期检查和分娩的228例孕妇分为观察组141例和对照组87例,观察组孕妇接受孕期营养干预,对照组孕妇按照传统孕期家庭饮食观念安排饮食,比较两组新生儿出生时胎龄、体重、Apgar评分,孕妇巨大儿发生率、分娩方式及分娩后满意情况。结果:观察组新生儿出生时体重明显低于对照组[(3.28±0.37)kg比(3.89±0.44)kg,P<0.05];观察组孕妇巨大儿发生率和剖宫产率均明显低于对照组(7.09%比16.09%,P<0.05),自然分娩率明显高于对照组(73.05%比49.43%,P<0.001);观察组孕妇分娩后总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:孕期营养干预有利于合理控制胎儿重量,提高自然分娩率和孕妇满意度。

Objective： To investigate the influence of prenatal nutrition intervention on fetal weight. Methods： From January 2014 to December 2016, 228 cases of pregnant women in our hospital for pregnancy examination and delivery were divided into an observation group with 141 cases and a control group with 87 cases. The pregnant women in the observation group received prenatal nutrition intervention, and the pregnant women in the control group were arranged diet according to the traditional pregnancy family diet conception. The gestational age, body weight, Apgar score, macrosomia incidence, mode of delivery and satisfaction after delivery were compared between the two groups. Results： The neonatal birth weight of the observation group was significantly lower than that of the control group [（3.28~0.37） kg to （3.89±0.44） kg, P〈0.05]. The incidence of macrosomia and cesarean section rate of the observation group were significantly lower than those of the control group（7.09% to 16.09%, P〈0.05）, The rate of natural childbirth of the observation group was significantly higher than that of the control group（73.05% to 49.43%, P〈0.001）. The total satisfaction of the pregnant women of the observation group was significantly higher than that of the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Prenatal nutrition intervention is good for controlling the weight of fetus and improving the rate of natural childbirth and the satisfaction of pregnant women.