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| Analysis of the effect of Gestational Nutrition on Maternal and Neonatal Outcomes of GDM |
| JI Hua, JIANG Wei |
| Jinshan District Shanghai Hospital of traditional Chinese and Western medicine, Shanghai Jinshan 201501 |
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Abstract 【Objective】Analysis of the effect of gestational nutrition on maternal and neonatal outcomes of gestational diabetes mellitus(GDM). 【Methods】 Ninety-three cases of gestational diabetes mellitus in our hospital(January 2014 to October 2015) were selected, they were randomly divided into intervention group (Comprehensive intervention: nutrition guidance, aerobic exercise, appropriate physical exercise)and control group(Regular diet control), the research object of FBG, P2hBG, HbA1c before and after intervention were compared between the two groups. The difference of incidence of adverse pregnancy outcome and perinatal outcome were compared between the two groups. 【Results】After the intervention, intervention group of FBG, P2hBG, HbA1c were lower than the control group, and the difference had statistical significance (P<0.05). The incidence of amniotic fluid pollution in the intervention group (12 cases, 25%) was lower than that of the control group (26 cases, 57.78%), the incidence of pregnancy induced hypertension (8 cases, 16.67%) was lower than that of the control group (17 cases, 37.78%), the incidence of splits the palace production(17 cases,35.42%) was lower than that of the control group (28 cases, 62.22%), and the difference is statistically significant (P<0.05); The incidence of low birth weight infants in the intervention group (5 cases, 10.42%) was lower than that in the control group (13 cases, 28.89%), The incidence of small for gestational age infant (6 cases, 12.50%) was lower than that of the control group (15 cases, 33.33%), the incidence of neonatal hypoglycemia (2 cases, 4.17%) was lower than that of the control group (10 cases, 22.22%), the incidence of neonatal asphyxia (4 cases, 8.33%) was lower than that of the control group (11 cases, 24.44%), the incidence of the pediatric treatment (7 cases, 14.58%) was lower than that of the control group (16 cases,35.56%), and the difference is statistically significant (P<0.05). 【Conclusion】Gestational nutrition comprehensive nursing intervention can effectively reduce the incidence of GDM, adverse pregnancy outcomes and the adverse perinatal outcomes.
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Received: 31 May 2017
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(本文编辑:詹道友) [收稿日期] 2017-05-31
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2017, Vol. 34 
