定期营养指导对围产期孕妇体重管理及妊娠结局的影响

Effect of Regular Nutrition Guidance on Weight Management and Pregnancy Outcome of Perinatal Pregnant Women

目的研究定期营养指导对围产期孕妇体重管理及妊娠结局的影响。方法选取2021年1月-2022年5月我院进行检查的72例围产期孕妇为研究对象,采用随机数字表法分为研究组(n=36)和对照组(n=36)。对照组给予常规孕期指导,研究组在对照组基础上给予定期营养指导,比较两组孕妇围产期营养指标(钙、铁、锌)、妊娠结局(剖宫产、阴道分娩)、妊娠并发症发生率、分娩并发症发生率、围产期孕妇体重。结果研究组钙、铁、锌水平均高于对照组(P<0.05);研究组剖宫产率低于对照组,阴道分娩率高于对照组(P<0.05);研究组妊娠并发症发生率为5.56%,低于对照组的13.89%(P<0.05);研究组分娩并发症发生率为8.33%,低于对照组的22.22%(P<0.05);研究组围产期孕妇体重指数正常率高于对照组,过低、过高、肥胖率均小于对照组(P<0.05)。结论定期营养指导可促进围产期孕妇体重管理,提高微量元素摄入,预防妊娠和分娩并发症,改善妊娠结局。

Objective To study the effect of regular nutrition guidance on weight management and pregnancy outcome of perinatal pregnant women.Methods A total of 72 perinatal pregnant women who were examined in our hospital from January 2021 to May 2022 were selected as the research objects.They were divided into study group(n=36)and control group(n=36)by random number table method.The control group was given routine pregnancy guidance,and the study group was given regular nutrition guidance on the basis of the control group.The perinatal nutrition indexes(calcium,iron,zinc),pregnancy outcome(cesarean section,vaginal delivery),incidence of pregnancy complications,incidence of delivery complications,and weight of perinatal pregnant women were compared between the two groups.Results The levels of calcium,iron and zinc in the study group were higher than those in the control group(P<0.05).The cesarean section rate of the study group was lower than that of the control group,and the vaginal delivery rate was higher than that of the control group(P<0.05).The incidence of pregnancy complications in the study group was 5.56%,which was lower than 13.89%in the control group(P<0.05).The incidence of delivery complications in the study group was 8.33%,which was lower than 22.22%in the control group(P<0.05).The normal rate of body mass index of perinatal pregnant women in the study group was higher than that in the control group,and the rates of low,high and obesity were lower than those in the control group(P<0.05).Conclusion Regular nutritional guidance can promote the weight management of perinatal pregnant women,increase the intake of trace elements,prevent pregnancy and delivery complications,and improve pregnancy outcomes.