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Preventive Value of Early Perinatal Health Care and Nutritional Guidance for Gestational Diabetes Mellitus and Premature Gelivery |
QIAO Ling |
Department of Obstetrics and Gynecology, Meishan Maternal and Child Health Hospital, Sichuan 620010 |
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Abstract 【Objective】To explore the value of early perinatal health care and nutritional guidance in the prevention of gestational diabetes mellitus (GDM) and premature delivery.【Methods】 One hundred and nine pregnant women who underwent maternity examination in our hospital from July 2016 to March 2018 and eventually delivered in our hospital were divided into observation group (51 cases) and control group (58 cases) according to random number table method. Pregnant women in the control group received routine health education and health guidance during pregnancy and childbirth, while pregnant women in the observation group received early perinatal health care and corresponding nutritional guidance on the basis of the above. The clinical efficacy of the two groups was compared, and the preventive value of early perinatal health care and nutritional guidance for GDM and premature birth was analyzed. 【Results】There was no significant difference in body mass index (BMI) before pregnancy between the two groups (P>0.05). The increase of BMI and body mass during pregnancy in the observation group was significantly lower than that in the control group (P<0.05). There was no significant difference in the levels of fasting blood glucose (FPG), postprandial 2-hour blood glucose (2hPG) and plasma glycosylated glycoprotein (HbA1C) between the two groups before pregnancy (P>0.05); there was no significant change in the levels of FPG, 2hPG and HbA1C before pregnancy and during delivery in the observation group (P>0.05); the levels of FPG, 2hPG and HbA1C during delivery in the control group were significantly higher than those before pregnancy(P<0.05). The incidence of GDM and premature infants in the observation group were 3.45% and 3.45% respectively, which were significantly lower than those in the control group (19.61% and 21.57%, respectively). The difference between the two groups was statistically significant (P<0.05).【Conclusion】Early health care and nutritional guidance during perinatal period can effectively control BMI and blood sugar level of pregnant women, thus effectively prevent and reduce pregnancy complications such as GDM and adverse pregnancy outcomes such as premature infants.
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Received: 01 August 2018
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[1] 李亚冬,马立萍.医院社区整体血糖管理模式对妊娠糖尿病患者血糖控制的效果研究[J].中国全科医学,2015,18(4):439-442. [2] 陆彩华,张红.孕期营养指导对妊娠期糖尿病病人妊娠结局的影响[J].青岛大学医学院学报,2015,51(1):105-106. [3] 王洪梅,刘金华,陈莲花,等.针对性系统护理对妊娠糖尿病患者妊娠结局的影响研究[J].现代中西医结合杂志,2016,25(11):1233-1235. [4] 何燕,聂禄娟,张艳.连续性护理干预对妊娠糖尿病患者母婴结局的影响[J].实用临床医药杂志,2016,20(6):108-110. [5] 郭美英,李玉梅,刘冬菊,等.妊娠期糖尿病孕妇个体化营养干预的效果观察[J].护理学报,2015,22(18):52-55. [6] 陈玉华.不同医学营养方案对妊娠糖尿病患者血糖影响的对比[J].安徽医药,2015,19(6):1135-1137. [7] 洪忠新,丁冰杰.个体化饮食治疗是妊娠糖尿病治疗的基石[J].中国全科医学,2015,18(14):1608-1613. [8] 贾晓炜,赵鑫,张颖,等.妊娠糖尿病患者饮食自我管理与个体化干预研究[J].重庆医学,2015,44(03):327-328. [9] 王颖,顾平,朱珠.运动和饮食控制法对妊娠期糖尿病孕妇血糖和妊娠结局影响分析[J].中国妇幼保健,2015,30(21):3575-3577. [10] 张泽琛,滕越,王杰,等.营养干预对妊娠期糖尿病患者体重与妊娠结局的影响[J].卫生研究,2016,45(2):337-340. [11] 陈妮,谢立华,焦杰华,等.饮食运动指导对孕前超重肥胖孕妇妊娠期糖尿病的预防作用[J].中国妇幼保健,2017,32(19):4616-4618. [12] 季华,姜伟.妊娠期营养对妊娠期糖尿病母婴结局的影响[J].医学临床研究,2017,34(6):1124-1127. [13] 党玮,同慧莉,苟文丽.妊娠前与妊娠中期体质量状况对妊娠糖尿病发病的影响[J].医学临床研究,2015,32(12):2461-2463. |
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