939Pregnant Womens Diet Of Nanjing And Its Relationship With Gestational Diabetes

ObjectiveInvestigate pregnant women who, nanjing city, jiangsu province dietary intake of nutrients level, and discusses the pregnancy dietary intake of nutrients level and the relationship of gestational diabetes, in order to provide guidance for the local pregnancy women’s diet, improve outcomes.MethodsThis topic is divided into three parts. Part Ⅰ:Collect939pregnant women’s24-hour dietary recalls conditions from September2010to July2011, in Jiangsu Province People’s Hospital obstetric check at the construction(24to28weeks pregnant),using a24-hour dietary recalls survey of pregnant women dietary conditions, and record their pre-pregnancy weight, height, and demographic information, perinatal nutrition planning software to analyze their dietary intake.Part Ⅱ:Select767pregnant women from September2010to June2011check at the obstetric construction in Jiangsu Province People’s Hospital,singleton pregnancies, family history of diabetes, from24to28weeks of gestation50g glucose screening positive screening results (≥7.8mmol/L)133cases re-75g oral glucose tolerance test (75gOGTT), and record their blood glucose levels and pregnancy outcome. Comparison of WHO standards and ADA standards, the significance and feasibility of the diagnosis of gestational diabetes. Part Ⅲ:Collect the blood sugar of939pregnant women, new the standards of the ADA gestational diabetes diagnosis diagnosis gestational diabetes, the use of SPSS13.0software analysis during pregnancy and dietary situation and the relationship of gestational diabetes. Rresults1Analysis of the basic situation:1.1The average age in this study was28.1±3.4years, range20to43years, the average pre-pregnancy weight was54.42±7.17Kg, BMI20.76±2.57Kg/m2;1.2The collection605of the second trimester dietary questionnaires cases, the total energy intake2208.8±592.1KJ, the recommended intake of96.04%±25.74%, the third trimester of pregnancy dietary questionnaire334cases, total energy intake2106.0±554.1KJ, the recommended intake of91.57%±24.09%;1.3Pregnant women in the late total energy intake, meal times irrational distribution of energy intake; intake of fat, cholesterol, vitamin E, niacin, grains, fruits, iron, selenium, copper, phosphorus was consistent with the standards of the recommended intake of beans and their products, eggs, and other snacks intake exceeds the recommended intake of vegetables, meat, poultry and aquatic products, milk and dairy products, protein, calcium, vitamin A, vitamin B, vitamin C, folic acid, iodine intake is relatively insufficient intake of saturated fatty acids more than trace elements from plant, animal sources less.2WHO criteria and the ADA criteria for diagnosis of gestational diabetes:767cases of pregnant women, the WHO standard of gestational diabetes incidence of4.2%(32cases); the ADA standard gestational diabetes incidence of8.3%(64cases). Compared to two standards, premature rupture of membranes, postpartum hemorrhage, cesarean delivery, amniotic fluid is too small, a huge children have a significant difference (p<0.05) in preterm children, fetal distress, neonatal hyperbilirubinemia blood disease were no significant differences (p>0.05).3The relationship between pregnancy dietary intake levels and gestational diabetesGestational diabetes group compared with the normal group in age, pre-pregnancy weight, pre-pregnancy BMI, Chinese food supply, in addition to meals outside food intake, carbohydrate intake for energy, fat for the amount and for the daily intake of potassium daily intake of vitamin C and niacin, plant calcium intake and its composition than milk calcium constitute ratio and other aspects of difference was statistically significant. while no significant differences in other nutrients such as total energy, fat sources, sources of iron, zinc source, source of protein.ConclusionPregnant women in Nanjing rich and varied diet, but a variety of dietary level of intake uneven, it is recommended to pregnant women nutritional guidance.Nanjing pregnant women dietary variety, various dietary levels of intake of uneven, it is recommended to pregnant women nutritional guidance.Gestational diabetes early diagnosis and treatment of the latest standards of the ADA to screen for gestational diabetes, the increase in adverse pregnancy outcomes of these patients, blood less, pregnant women with good compliance, reduce maternal mental and economic the burden can be used in clinical practice.Age, the higher the pregnancy the higher the risk of gestational diabetes, pre-pregnancy obesity compared with pre-pregnancy weight normal population a high risk of gestational diabetes. During pregnancy diet should be suitable for avoid blind snacks, change the traditional concept of one person to eat the two make up "as open as possible dietitians and nutrition counseling, and assess their food intake, metabolic status, lifestyle, economic factors, and based on height and body mass of pregnant women develop individualized medical nutrition therapy program to improve pregnancy outcomes.