产程中不同的饮食能量摄入管理对产妇产程及新生儿结局的影响  

Effects of Different Dietary Energy Intake Management on Maternal Labor Process and Neonatal Outcome

作　　者：周彩虹 何彦彦[1] ZHOU Caihong;HE Yanyan(Department of Obstetrics,Zhaoqing First People’s Hospital,Zhaoqing,Guangdong,506020)

机构地区：[1]肇庆市第一人民医院产科,广东肇庆506020

出　　处：《智慧健康》2022年第14期143-145,共3页Smart Healthcare

摘　　要：目的 探讨产程中不同的饮食能量摄入管理对产妇产程及新生儿结局的影响。方法 选择肇庆市第一人民医院产科2020年6月-2020年12月收治的200例产妇作为研究对象,按随机数字表法分为对照组和干预组。对照组100例产妇实施常规饮食管理,在待产期间及一二产程根据产妇意愿进食;干预组100例产妇在第一产程、潜伏期、活跃期实施饮食能量管理。对比两组产妇的结局、分娩时间、新生儿结局。结果 干预组的自然分娩率为94.00%,高于对照组的85.00%,差异具有统计学意义(χ^(2)=10.286,P=0.001);干预组的中转剖宫产率为5.00%,低于对照组的10.00%,差异具有统计学意义(χ^(2)=10.865,P=0.001);两组阴道助产率(干预组1.00% VS对照组5.00 %)对比差异无统计学意义(χ^(2)=2.032,P=0.154)。干预组的第一产程、第二产程、总产程时间分别为(10.03±1.23)h、(1.18±0.31)h、(11.28±1.08)h,均短于对照组的(10.64±1.35)h、(1.34±0.37)h、(12.46±1.22)h,差异具有统计学意义(t=3.149、3.118、6.822,P=0.002、0.002、<0.001)。干预组的新生儿异常结局发生率为1.00%,低于对照组的8.00%,差异具有统计学意义(χ^(2)=6.222,P=0.013)。结论 在产妇产程中实施不同的饮食能量摄入管理,可改善产妇的分娩结局,提高自然分娩率、降低中转剖宫产率,并能缩短产妇产程、减少新生儿异常结局的发生。Objective To explore the effects of different dietary energy intake management on maternal labor process and neonatal outcome.Methods 200 pregnant women treated in the obstetrics department of our hospital from June 2020 to December 2020 were selected as the research object.They were randomLy divided into control group and intervention group.In the control group,100 parturients implemented routine diet management and ate according to the wishes of parturients during labor and the first and second stages of labor;in the intervention group,100 pregnant women implemented dietary energy management in the first stage of labor,incubation period and active period.The maternal outcomes,delivery time and neonatal outcomes were compared between the two groups.Results The natural delivery rate in the intervention group was 94.00%,which was higher than 85.00% in the control group (χ^(2)=10.286,P=0.001);the conversion rate of cesarean section in the intervention group was 5.00%,which was lower than 10.00% in the control group (χ^(2)=10.865,P=0.001);there was no significant difference in the rate of vaginal midwifery between the two groups (1.00% in the intervention group vs 5.00% in the control group) (χ^(2)=2.032,P=0.154).The time of the first stage of labor,the second stage of labor and the total stage of labor in the intervention group were (10.03±1.23) h,(1.18±0.31)h and (11.28±1.08) h respectively,which were shorter than those in the control group (10.64±1.35) h,(1.34±0.37)h and (12.46±1.22) h,and the difference was statistically significant (t=3.149,3.118 and 6.822,P=0.002,0.002 and <0.001).The incidence of abnormal neonatal outcomes in the intervention group was 1.00%,which was lower than 8.00% in the control group (χ^(2)=6.222,P=0.013).Conclusion The implementation of different dietary energy intake management in the process of parturient delivery can improve the parturient outcome,improve the natural delivery rate,reduce the rate of conversion to cesarean section,shorten the parturient process and reduce th

关 键 词：饮食能量摄入管理 新生儿结局 自然分娩 阴道助产 

分 类 号：R473.71[医药卫生—护理学]