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| Investigation on the utilization status and the influencing factors of the nutrition management service for women during pregnancy and childbirth in obstetric outpatient department |
| Jiaozhou Central Hospital, Qingdao, Shandong Province, 266300 |
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Abstract To investigate and analyze the utilization status and the influencing factors of the nutrition management service for women during pregnancy and childbirth in obstetric outpatient department. Methods: The clinical data of 2002 pregnant and lying-in women who were received services from obstetric outpatient department of the hospital were selected in this study from December 2020 to December 2022. 1564 women who accepted the nutrition management service less than 3 times in the past month were selected in group A, and 438 women who accepted the nutrition management service ≥3 times in the past month were selected in group B. The demographic data and the maternal health care situation of the women were compared between the two groups. Logistic regression was used to analyze the influencing factors of the utilization of the maternal nutrition management services. Results: Among 2002 women in this survey, 21.9% (438/2002) of them had the high utilization of the maternal nutrition management services. The main contents of the utilization of the maternal nutrition management services were the establishment of nutrition management files (82.5%), the nutrition consultation and evaluation (48.9%), the individualized nutrition support therapy (46.3%), the nutrition treatment for the pregnancy complications (56.1%) and the health education (56.1%). Multivariate analysis showed that education level of junior college or below, the family per capita monthly income <10 000 RMB, the number of antenatal examinations <4 times, the postpartum visits <3 times and the dissatisfaction or general satisfaction for the maternal nutrition management services of the women were the influencing factors of their utilization of maternal nutrition management services (all P<0.05). Conclusion: The utilization status of the nutrition management service of the pregnant and lying-in women in the obstetric outpatient department is not optimistic. For the pregnant and lying-in women with different educational and economic levels, the targeted nutrition management service should be adopted for them and the actively optimized model of the maternal nutrition management services of the pregnant and lying-in women should be conducted, so as to improve their utilization of the maternal nutrition management services.
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