基于IOM指南的孕期营养指导对双胎妊娠母婴结局的影响  

Effects of nutritional guidance based on the IOM guidelines on maternal and neonatal outcomes in twin pregnancies

作　　者：刘园园 孟文颖 李小庆 LIU Yuanyuan;MENG Wenying;LI Xiaoqing(Department of Obstetrics,Tongzhou District Maternal and Child Health Hospital,Beijing 101125,China)

机构地区：[1]北京市通州区妇幼保健院产科,北京101125

出　　处：《检验医学与临床》2024年第24期3692-3695,3701,共5页Laboratory Medicine and Clinic

基　　金：北京市通州区科技计划项目(KJ2023CX075)。

摘　　要：目的探讨基于美国医学研究所(IOM)指南的孕期营养指导对双胎妊娠孕期增重、母婴结局的影响。方法选取2020年3月至2022年3月该院收治的双胎妊娠孕妇106例,按照随机数字表法分为对照组和观察组,每组53例,对照组给予常规孕期保健,观察组在对照组的基础上,在营养门诊给予孕妇基于IOM指南的营养指导。观察两组孕妇孕期体质量增加情况、并发症发生情况、分娩方式和新生儿的情况,比较两组新生儿出生时的体质量、Apgar评分和孕妇满意度。结果与对照组比较,观察组体质量增加量更少,差异有统计学意义(P<0.05);观察组增重正常者比例(88.68%)大于对照组(66.04%),差异有统计学意义(P<0.05);观察组孕妇并发症发生率(20.75%)低于对照组(41.51%),顺产率(75.47%)大于对照组(47.17%),差异均有统计学意义(P<0.05);与对照组比较,观察组新生儿异常发生率更低,新生儿出生时的体质量、Apgar评分更高,差异均有统计学意义(P<0.05);观察组孕妇满意度(96.23%)高于对照组(81.13%),差异有统计学意义(P<0.05)。结论基于IOM指南的营养指导能够有效控制双胎妊娠孕妇孕期的体质量,减少孕妇并发症的发生,减少新生儿异常发生率,提高新生儿出生时的体质量、Apgar评分及孕妇满意度。Objective Based on the guidelines of the Institute of Medicine(IOM),to explore the effects of nutritional guidance on gestational weight gain,materral and infant outcomes in twin pregnancies.Methods A total of 106 pregnant women with twin pregnancies admitted to Tongzhou District Maternal and Child Health Hospital from March 2020 to March 2022 were randomly divided into control group and observation group,with 53 cases in each group.The control group received routine prenatal care,while the observation group received nutritional guidance based on the IOM guidelines for pregnant women on the basis of the control group.Observe the increase in body mass during pregnancy,incidence of complications,delivery methods and the condition of newborns between the two groups,and compare the body mass,Apgar score of newborns at birth and maternal satisfaction of pregnant women between the two groups.Results Compared with the control group,the observation group showed a smaller increase in body mass,the difference was statistically significant(P<0.05).The proportion of normal weight gain in the observation group(88.68%)was higher than that in the control group(66.04%),the difference was statistically significant(P<0.05).The incidence of complications in the observation group(20.75%)was lower than that in the control group(41.51%),the incidence of vaginal delivery(75.47%)was higher than that in the control group(47.17%),with statistically significant differences(P<0.05).Compared with the control group,the observation group had a lower incidence of neonatal abnormalities,higher body mass and Apgar score of newborns at birth,the differences were statistically significant(P<0.05).The satisfaction rate of pregnant women in the observation group(96.23%)was higher than that in the control group(81.13%),the difference was statistically significant(P<0.05).Conclusion Nutritional guidance based on the IOM guidelines can effectively control the body mass of pregnant women with twin pregnancies,reduce the occurrence of complications,decrea

关 键 词：双胎妊娠 门诊 营养指导 孕期增重 母婴结局 

分 类 号：R715.3[医药卫生—妇产科学]