| Objective:To understand the nutritional and cognition status in Shanxi Province Maternal and Child Health Hospital during pregnancy,to analyze the influence factors of the pregnancy outcome.To help the hospital to provide theoretical evidence for the prevention and intervention measures,to improve the quality of life, and to ensure the healthy growth of maternal neonatal.Methods:Select as research object,409 puerperae who are 2~4 days after their accouchement in Shanxi Province Maternal and Child Health Hospital during April 1st 2014 and September1 st 2014.Using “self-designed maternal diet and lifestyle questionnaire” and “hospital records system” to collect relevant information about maternal nutrition and pregnancy outcomes,to analysis in-depth on the influence factors of the pregnancy outcome. The database was established on Epidata3.0 software, data were analyzed by SPSS19.0software. Analysis of variance, chi-square test, multivariate Logistic regression analysis and other analysis methods were used.Results:1.The passing rate of maternal nutrition knowledge score was 54.8%, the chi-square test showed passing rate of maternal nutrition knowledge had a significant difference(P<0.05) in residence, education level, income level and received dietary guidance.2.People who had better maternal nutrition attitude and willing to learn aboutmaternal nutrition knowledge during pregnancy accounted for 91.0%; only 15.9% received dietary guidance system from Shanxi Province Maternal and Child Health Hospital,the chi-square test showed the passing rate of maternal nutrition knowledge had a significant difference(P <0.05) in the receivedietary guidance system.3.Rice as the staple food accounted for 84.4% during pregnancy; some food like bean products, milk, eggs, meat, vegetables, fruits etc which has relatively high intake, the others like plucks, blood products, fishes, seafood etc which has less intake.The chi-square test found that pregnancy dietary intake score has a significant difference(P<0.05) in residence, income level, weight gain during pregnancy and birth weight.4.There was a significant difference(P<0.05) between hypertensive disorder in pregnancy group and non-pregnancy complications group in age, pre-pregnancy BMI,pregnancy loss, taste preferences during pregnancy and other aspects; Multivariate Logistic regression analysis showed that the impacts of gestational hypertension factors are age, pre-pregnancy BMI, pregnancy taste preferences.5.There was a significant difference(P<0.05) between gestational diabetes mellitus group and non-pregnancy complications group in education level, age, weight gain during pregnancy, pre-pregnancy BMI and other aspects; Multivariate Logistic regression analysis showed that factors of gestational diabetes are age, pre-pregnancy BMI.6.The birth rate of low birth weight was 3.2%, Multivariate Logistic regression analysis showed that the factors of low birth weight children are: pregnancy taste preferences and nutrition knowledge score.7.The birth rate of high birth weight was 12.5%, Multivariate Logistic regression analysis showed that factors which occurred high weight are education, weight gain during pregnancy, primiparity, gender and dietary intake during pregnancy.Conclusions:1.The passing rate of maternal nutrition knowledge pregnancy is not high,dietary intake structure during pregnancy is not reasonable,so nutrition and cognitive status ofpregnant women need to be improved.2.Carry out multi-channel, multi-forms of missionary activity, give full play to the role of medical personnel, maternal and child health institutions in maternal and child health work.3.It is critical to take active measures in high risk groups to prevent the pregnancy complications.4.Carry out comprehensive monitoring of weight gain during pregnancy to avoid the occurrence of high weight and improve the quality of newborns born. |
PDF Full Text Request