Analysis of perinatal nutrition clinic intervention on pregnancy outcomes of patients with gestational diabetes mellitus

Abstract

Objective To explore the efficacy of perinatal nutrition clinic intervention on pregnancy outcomes of patients with gestational diabetes mellitus (GDM).Methods 440 pregnant women who had been diagnosed with gestation diabetes mellitus (GDM) in prenatal examinations received the medical service in our hospital from March 2012 to September 2013.They were divided into two groups according to nutrition clinic history,200 cases in intervention group and 240 cases in control group.Results The blood glucose level A of intervention group was significantly lower than that of control group (P ＜ 0.01).There were 67 cases of cesarean section in intervention group (33.5％),121 cases in control group (50.4％),with significant difference (x2 =12.757,P ＜ 0.01).The incidence of macrosomia in intervention group was 2.5％ (5/200),while that in control group was 7.1％ (17/240),with significant difference (x2 =4.852,P ＜ 0.05).The incidence of neonatal hypoglycemia in intervention group was 3.0％ (6/200),while that in control group was 7.9％ (19/240),with significant difference (x2 =4.921,P ＜ 0.05).Conclusion Scientific dietary guidance for GDM pregnant women provided by perinatal nutrition clinic can effectively control their blood glucose and improve perinatal outcomes of GDM mothers and their infants. Key words: Gestational diabetes; Nutrition clinic; Pregnancy outcome