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| Effects of midwife-guided nutrition and weight management of primiparas on their natural delivery rate and neonatal status |
| Bozhou Traditional Chinese Medicine Hospital, Bozhou, Anhui Provinve, 236800 |
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Abstract To explore the effects of midwife-guided nutrition and weight management of primiparas on their natural delivery rate and neonatal status. Methods: 98 primiparas who had been established documents of perinatal period and had regular prenatal examination in the hospital were selected as the research subjects, and were randomly divided into two groups (49 cases in each group) by single-double ball method from January 2020 to June 2022. The primiparas in the control group were given routine management, while the primiparas in the observation group were given midwife-guided nutrition and weight management on the basis of routine management. The intake status of nutrients, such total protein, total cholesterol, folic acid, calcium, magnesium, and zinc, the prepregnancy delivery fear evaluated by Chinese version of Childbirth Fear-Prior to Pregnancy Scale (CFPP), the delivery outcomes, such as natural delivery, cesarean section, and dystocia, of the primiparas, and the neonatal Apgar score， and the neonatal outcomes, such as macrosomia, low birth weight infant, fetal intrauterine distress, and neonatal asphyxia, in the two groups were observed. Results: The nutrient intake situation of the primiparas in the observation group was significantly better than that of the primiparas in the control group. The rate of the natural delivery (83.7%) of the primiparas in the observation group was signficently higher than that (61.3%) of the primiparas in the control group. The scores of the fear for pain and loss of control (12.34±3.07 points), the fear for complications (6.48±1.21 points), and the fear for physical changes after delivery of (4.89±1.14 points) evaluated by CFPP of the primiparas in the observation group were signficently lower than those (14.26±3.22 points, 7.33±1.85 points, and 5.57±1.25 points) of the primiparas in the control group. The incidences of dystocia (8.2%) and macrosomia (0) of the primiparas in the observation group were signficently lower than those (24.5% and 12.2%) of the primiparas in the control group (all P＜0.05). There was no signficent difference in the neonatal Apgar score (8.37±0.48 points vs. 8.23±0.44 points) of the primiparas between the two groups (P＞0.05). Conclusion: Midwife-guided nutrition and weight management of the primiparas can improve their nutritional status, alleviate their fear of pre-pregnancy delivery, increase their rate of natural delivery, and improve their neonatal status.
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