Effects of individualized medical nutrition therapy on metabolism index and pregnancy outcome of ;patients with GDM during pregnancy and lactation periods
10.3760/cma.j.issn.1674-2907.2016.36.009
- VernacularTitle:个体化医学营养治疗对妊娠糖尿病患者孕期和哺乳期代谢指标及妊娠结局的影响
- Author:
Yanhong GE
1
;
Xing ZHANG
;
Jing CHU
;
Yuxia MA
;
Lihui ZHANG
;
Junxiang GAO
;
Dongying FENG
Author Information
1. 050000 石家庄，河北医科大学第二医院内分泌科
- Keywords:
Diabetes,gestational;
Pregnancy outcome;
Individualized medical nutrition therapy;
Metabolism index
- From:
Chinese Journal of Modern Nursing
2016;22(36):5219-5224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of individualized medical nutrition therapy (IMNT) on the nutrition metabolism index and pregnancy outcome in gestational diabetic mellitus (GDM) patients during pregnancy and lactation periods. Methods Totally 98 female patients diagnosed with GDM from the Second Hospital of Hebei Medical University were selected from June 2014 to September 2015 and divided into the study group and the control group according to the principles of randomization. 51 patients in the study group received intervention of IMNT during pregnancy and lactation periods. 47 patients in the control group received traditional oral nutritional intervention model. The purpose was to observe the changes of biochemical indicators among different periods and pregnancy outcomes between two groups at the 3rd and 6th month after intervention. Results The metabolism index including fasting blood glucose ( FBG ) , postprandial blood glucose (PBG), HbA1c, Ca2+, CHOL, TG, TP, and ALB of the study group were significantly better than that of the control group ( P<0. 05 ) . The incidence rate of pregnancy-induced hypertension syndrome, polyhydramnios and other complications, and the Cesarean delivery rate was also significantly lower in the study group than those in the control group ( P<0.05) . Macrosomia, hypoglycemia, asphyxia, high blood bilirubin, fetal distress, premature birth rate, and the neonatal Apgar score ratio after postpartum in the study group were significantly better than the control group ( P<0.05) . The average weight gain among the pregnant women, the postpartum maternal weight, and the neonatal average birth weight of the study group were significantly lower than that of the control group (P<0.05). Conclusions IMNT can ensure good pregnancy outcome, and help to effectively control nutrition metabolic indices; It is a safe and important non-drug intervention to ensure the safety of mothers and their fetus.
