The pregnancy outcomes in women with gestational diabetes mellitus in one-day outpatient management with or without nutrition specialist involvement: a propensity score matching study
10.3760/cma.j.cn115822-20211013-00204
- VernacularTitle:营养科参与妊娠期糖尿病一日门诊管理对妊娠结局的影响：一项倾向性评分匹配研究
- Author:
Ying ZHONG
1
;
Feng ZHOU
;
Qi SONG
;
Lu XIONG
;
Xianli WANG
;
Qiao HUANG
;
Hailan SUN
Author Information
1. 重庆市妇幼保健院营养科 401147
- Keywords:
Gestational diabetes mellitus;
One-day outpatient management;
Nutrition specialist;
Macrosomia;
Propensity score matching
- From:
Chinese Journal of Clinical Nutrition
2021;29(6):350-355
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Objective To explore the special role of nutrition specialists in the one-day-care clinic of gestational diabetes mellitus (GDM), and provide a basis for strengthening the standardized construction of one-day-care clinic.Methods:It was a retrospective observation study that the pregnant women who participated in the one-day-care clinic of GDM in our hospital without nutrition specialists in November and December 2017 were divided into control group (177 cases), and who participated in the one-day-care clinic of GDM in our hospital with nutrition specialists in January and February 2018 were divided into observation group (307 cases). The differences of pregnancy outcomes between the two groups were compared after the propensity score matching.Results:176 pairs of patients were successfully matched with a 1:1 propensity score. The incidence of macrosomia in pregnant women with GDM in the observation group (2.8%) was significantly lower than that in the control group (8.5%) ( P=0.036). There were no significant differences in the weight gain during pregnancy, the gestational week of delivery and the incidences of insulin use, hypertension during pregnancy, preeclampsia, cesarean section, premature infants, premature rupture of membranes, umbilical cord around the neck, and fetal distress between the two groups ( P>0.05). Conclusion:Nutrition specialists are indispensable in the multidisciplinary cooperation of one-day-care clinic of GDM, and they play a key role in considerably lowering the prevalence of macrosomia in GDM pregnant women.
