Individualized And Continuous Pregnancy Weight Management Based On WeChat Platform

[Objective]To establish a personalized and continuous weight management service for pregnant women by constructing a informationalized service for weight management during pregnancy,and to explore the effects of individualized and continuous pregnancy weight management on maternal weight control and birth outcomes based on We Chat platform.It aims to promote pregnant women to control their body weight in a proper range,reduce maternal and child complications,get good birth outcomes and maternal and child health,and provide new ideas for informationalized management and health education during pregnancy.[Methods]Sixty-four pregnant women who were filed in our hospital from December 2017 to January 2018 were selected as subjects.They were randomly divided into intervention group(32 cases)and control group according to the random number table method.The control group was given normal pregnancy health.The intervention group was provided personalized,continuous weight management through We Chat based on the regular pregnancy health.They used We Chat friends for personally follow-up,self-monitoring and regular feedback on weight management.Also they got We Chat group professional counseling,peer communication,and grouprecognition during weight management during pregnancy.The caregiver made We Chat public account to continuously post weight management information to carry out weight management health education.After the trial,the weight gain during pregnancy,the weight of newborns,the appropriate rate of weight gain during pregnancy,gestational diabetes,gestational hypertension,cesarean section rate,and the incidence of macrosomia were compared.[Results]1.Baseline status of the two groups: Before the intervention,there was no significant difference in the basic data between the intervention group and the control group(P<0.05).2.The proportion of counseling problems in the intervention group was significantly lower than that in the control group(P<0.05).3.Comparison of weight gain during pregnancy between two groups of pregnant women:The weight gain during pregnancy(14.90±2.24)kg in the control group and the weight gain in the intervention group(13.06±1.41)kg.,The weight gain during pregnancy was significantly lower in the intervention group than in the control group(P<0.05).the weight gain of the control group during pregnancy was 16 cases,the appropriate rate of weight gain during pregnancy was 53.33%,the weight of the intervention group during pregnancy was 29 cases,and the appropriate rate of weight gain during pregnancy was 96.67%.The appropriate rates of weight gain during pregnancy were compared between the two groups.The difference was statistically significant.The weight gain during pregnancy was significantly better than that of the control group(P<0.05).4.Comparison of neonatal weight between two groups of pregnant women:The weight of newborns in the control group was(3318.33 ± 577.74)g,and the weight of newborns in the intervention group(3041.00 ± 261.77)g.The The appropriate rate of neonatal body during the control group during pregnancy was16.67%,The appropriate rate of neonatal body during the intervention group duringpregnancy was 0.The incidence of macrosomia in the intervention group was significantly better than that in the control group(P<0.05).5.Comparison of cesarean section rate between two groups of pregnant women:The Caesarean section rate in the intervention group was significantly better than that in the control group(P<0.05).6.Comparison of cesarean section rate between two groups of pregnant women:The incidence of gestational diabetes,gestational hypertension in the intervention group was significantly better than that in the control group(P<0.05).[Conclusion]Individualized and continuous weight management during pregnancy based on We Chat platform can Can reduce the question of health education consultation at all stages of pregnant women,improve the efficiency of health education,significantly reduce the weight of pregnant women,Can effectively control the weight gain of pregnant women in the appropriate range,reduce the weight of newborns,reduce the birth rate of giant children,reduce the cesarean section rate,reduce the incidence of hypertension and diabetes in pregnancy,and improve maternal and child outcomes.