Influence of the targeted nutrition guidance for primiparas in the whole perinatal period on their delivery
Objective:To explore the influence of the targeted nutrition guidance for primipara in the whole perinatal period on their delivery.Methods:A total of 103 primiparas were included and were divided into control group(51 ca-ses)and observation group(52 cases)by random number table method from April 2020 to June 2023.The primiparas in the control group received routine perinatal obstetric care intervention,and the primiparas in the observation group received targeted nutrition guidance intervention in the whole perinatal period additionally.During the intervention,1 case in each group was fallen off.The total labor duration,the 2h postpartum blood loss,the rates of natural delivery and the maternal and neonatal complications,the score of the maternal pain score during delivery evaluated by VAS,the scores of Edinburgh Postpartum Depression Scale(EPDS)and Conner-Davidson Flexibility Scale(CD-RISC),the maternal nutrition status and the satisfaction for the intervention of the primiparas in the two groups were observed.Results:The duration of the total labor(431.49±24.19 min)and the amount of postpartum hemorrhage(123±10 ml)of the primiparas in the observation group were significantly less than those(508.18±22.17 min and 204±11 ml)of the primiparas in the control group.The natural delivery rate(80.4％)of the primiparas in the observation group was significantly higher than that(60.0％)of the primiparas in the control group.The rates of maternal complications(0)and the neonatal complications(3.9％)in the control group were significantly lower than those(8.0％and 16.0％)of the primiparas in the control group.The VAS score(4.85±0.94 points)of the primiparas in the observation group at delivery was significantly lower than that(6.23±0.56 points)of the primiparas in the control group.The scores of EP-DS(7.29±0.69 points)and CD-RISC(81.27±4.27 points)of the primiparas in the observation group in 3 days after delivery were significantly better than those(9.13±0.77 points and 77.62±2.65 points)of the primiparas in the con-trol group.The incidence of malnutrition(0)of the primiparas in the observation group was significantly lower than that(8.0％)of the primiparas in the control group,and the maternal satisfaction rate for the intervention(94.1％)of the primiparas in the observation group was significantly was higher than that(78.0％)of the primiparas in the control group(all P＜0.05).Conclusion:Targeted nutrition guidance for the primiparas in the whole perinatal period can bet-ter improve their nutritional status,reduce their incidence of malnutrition,shorten their total labor process,reduce their postpartum hemorrhage and complications rate,relieve their pain during delivery,improve their natural delivery rate,and with the good postpartum psychological state and high satisfaction rate of the primiparas.
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