孕期膳食营养健康教育对孕妇体质量及妊娠结局的影响

[目的]探讨孕期膳食营养健康教育对孕妇体质量及妊娠结局的影响.[方法]选取2013年6月至2015年6月在本院妇产科门诊初次建立孕产妇保健手册的妊娠13周前正常单胎初产妇900例,依据就诊单双号分为观察组和对照组,每组450例,观察组给予孕期膳食营养健康教育及个体化的营养指导,对照组仅给予常规孕期生理卫生知识的指导,比较两组孕妇孕期增长体质量、妊娠期高血压疾病、妊娠期合并贫血、巨大儿、剖宫产率、难产、子宫收缩乏力、新生儿窒息发生率.[结果]观察组孕期增长体质量在正常范围内的比率明显高于对照组(P<0.01),孕期体质量增重过少及增重过多的比率均低于对照组(P<0.01);观察组妊娠期高血压疾病、妊娠期合并贫血、巨大儿、难产、子宫收缩乏力的发生率均低于对照组(P<0.05),观察组剖宫产率明显低于对照组(P<0.01).[结论]孕期膳食营养健康教育对于控制孕妇孕期体质量增长有良好的效果,明显减少妊娠期并发症的发生率,改善妊娠结局.

Effect of Dietary Nutrition and Health Education on Pregnant Women

[Objective]To explore the effect of dietary nutrition and health education on the weight and pregnancy outcome of pregnant women. [Methods]Ninety cases of primipara with 13 weeks of single pregnancy in the clinic of ob-stetrics and gynecology of our hospital from June 2013 to June 2015n were selected, and were divided into the observation group and control group on the basis of odd /even serial number, 450 cases in each group. The observation group was giv-en the nutrition and health education during pregnancy and the individual nutrition guidance, while the control group was only given the guidance of physiological health knowledge during pregnancy. Body mass, pregnancy induced hypertension, pregnancy with anemia, macrosomia, cesarean section rate, dystocia, uterine atony, incidence of neonatal asphyxia were compared between the two groups of pregnant women during pregnancy.[Results]The growth rate of the observation group in the normal range was significantly higher than that of the control group ( P<0.01), and the rate of body weight gain and weight gain was too much lower than that of the control group ( P<0.01);the pregnancy induced hypertension, preg-nancy anemia, macrosomia, dystocia, uterine atony incidence rate of the observation group were lower than those of the control group ( P<0.05) , cesarean section rate of the observation group was significantly lower than that of the control group ( P<0.01) .[Conclusion] Dietary nutrition and health education during pregnancy has a good effect on controlling the growth of body weight during pregnancy, which can significantly reduce the incidence of complications during pregnan-cy and improve pregnancy outcomes.