This study aims to conduct a dietary index score assessment for individuals with high-risk factors for gestational hyperglycemia (such as overweight, obesity, family history of diabetes, history of macrosomia, and gestational diabetes mellitus), starting from early pregnancy, and to provide personalized nutrition management based on the score to reduce pregnancy complications and adverse pregnancy outcomes. A total of 194 pregnant women who underwent routine prenatal examinations at our hospital from September 2022 to September 2023 were selected. They were randomly divided into a study group and a control group, with 97 cases in each group. The control group received simple nutritional guidance, mainly focusing on the requirements for various nutrients and nutritional supplements during each trimester. The study group received nutrition guidance based on the dietary index score, as well as personalized guidance on health education, weight management, pregnancy exercise, and lifestyle. The incidence of gestational diabetes mellitus in the intervention group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). The incidence of macrosomia was 1.03% in the intervention group and 8.25% in the control group, with a statistically significant difference (P < 0.05). The incidence of small-for-gestational-age infants was 2.06% in the intervention group and 10.31% in the control group, with a statistically significant difference (P < 0.05). For pregnant women with high-risk factors, early pregnancy nutrition management based on the dietary compliance index score can quickly screen for nutritional risks and provide targeted personalized nutrition management, thereby reducing the risk of pregnancy complications and adverse pregnancy outcomes and promoting the health of mothers and infants during pregnancy.
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