Influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women

Miaomiao Yu(1), Haiyan Chen(2), Na Li(3),


(1) Department of Gynecology, Nanjing General Hospital of Nanjing Military Command, Jiangsu 210000, China
(2) Department of Gynecology, Nanjing General Hospital of Nanjing Military Command, Jiangsu 210000, China
(3) Department of Gynecology, Nanjing General Hospital of Nanjing Military Command, Jiangsu 210000, China
Corresponding Author

Abstract


This study was an original article, mainly aimed to explore the influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women. Two hundred (200) pregnant women were admitted to the Nanjing General Hospital of Nanjing Military Command from May 2021 to May 2023. They were randomly sub-divided into a control group and an intervention group. Each group had 100 cases. The control group received routine guidance, while the intervention group received personalized nutrition guidance based on standards from the routine guidance protocol. The results showed that in comparison with the control group, the intervention group presented higher calcium, protein, folate, sodium, iron, vitamin and zinc levels, lower fat levels, lower incidence of adverse birth outcomes, lower incidence of adverse neonatal status, higher fetal body weight and Apgar score higher satisfaction rate, and lower incidence of complications during pregnancy. We conclude that reasonable intake of nutrition during pregnancy can meet the nutritional needs of pregnant women and fetuses, improve pregnancy safety, improve delivery and newborn conditions, reduce the occurrence of pregnancy complications, and improve the satisfaction of pregnant women.

References


Crider K, Williams J, Qi YP, Gutman J, Yeung L, Mai C,

Finkelstain J, Mehta S, Pons-Duran C, Menéndez C,

Moraleda C, Rogers L, Daniels K and Green P.

Folic acid supplementation and malaria

susceptibility and severity among people taking

antifolate antimalarial drugs in endemic areas.

Cochrane Database Syst Rev. 2022; 2(2022)

da Silva Lopes K, Yamaji N, Rahman MO, Suto M,

Takemoto Y, Garcia-Casal MN and Ota E.

Nutrition-specific interventions for preventing and

controlling anaemia throughout the life cycle: an

overview of systematic reviews. Cochrane

Database Syst Rev. 2021; 9(9):Cd013092.

Wikoff D, Welsh BT, Henderson R, Brorby GP, Britt J,

Myers E, Goldberger J, Lieberman HR, O'Brien C,

Peck J, Tenenbein M, Weaver C, Harvey S, Urban

J and Doepker C. Systematic review of the potential

adverse effects of caffeine consumption in healthy

adults, pregnant women, adolescents, and children.

Food Chem Toxicol. 2017; 109(Pt 1):585-648.

Nevins JEH, Donovan SM, Snetselaar L, Dewey KG,

Novotny R, Stang J, Taveras EM, Kleinman RE,

Bailey RL, Raghavan R, Scinto-Madonich SR,

Venkatramanan S, Butera G, Terry N, Altman J,

Adler M, Obbagy JE, Stoody EE and de Jesus J.

Omega-3 Fatty Acid Dietary Supplements

Consumed During Pregnancy and Lactation and

Child Neurodevelopment: A Systematic Review. J

Nutr. 2021; 151(11):3483-3494.

Faria APV, da Silva TPR, Duarte CK, Mendes LL, Santos

FBO and Matozinhos FP. Tetanus vaccination in

pregnant women: a systematic review and metaanalysis of the global literature. Public Health.

; 196:43-51.

Simon A, Pratt M, Hutton B, Skidmore B, Fakhraei R,

Rybak N, Corsi DJ, Walker M, Velez MP, Smith

GN and Gaudet LM. Guidelines for the

management of pregnant women with obesity: A

systematic review. Obes Rev. 2020; 21(3):e12972.

Motamed S, Nikooyeh B, Anari R, Motamed S, Mokhtari

Z and Neyestani T. The effect of vitamin D

supplementation on oxidative stress and

inflammatory biomarkers in pregnant women: a

systematic review and meta-analysis of clinical

trials. BMC Pregnancy Childbirth. 2022; 22(1):816.

Martínez-Olcina M, Rubio-Arias JA, Reche-García C,

Leyva-Vela B, Hernández-García M, HernándezMorante JJ and Martínez-Rodríguez A. Eating Disorders in

Pregnant and Breastfeeding Women: A Systematic

Review. Medicina (Kaunas). 2020; 56(7)

Dingena CF, Arofikina D, Campbell MD, Holmes MJ,

Scott EM and Zulyniak MA. Nutritional and

Exercise-Focused Lifestyle Interventions and Pregnancy: A Systematic Review and MetaAnalysis of Randomized Clinical Trials. Nutrients.

; 15(2)

Peña-Rosas JP, Mithra P, Unnikrishnan B, Kumar N, DeRegil LM, Nair NS, Garcia-Casal MN and Solon

JA. Fortification of rice with vitamins and minerals

for addressing micronutrient malnutrition.

Cochrane Database Syst Rev. 2019; 2019(10)

East CE, Biro MA, Fredericks S and Lau R. Support

during pregnancy for women at increased risk of

low birthweight babies. Cochrane Database Syst

Rev. 2019; 4(4):Cd000198.

Campbell F, Booth A, Carroll C, Lee A and Relton C.

Qualitative evidence syntheses of attitudes and

preferences to inform guidelines on infant feeding

in the context of Ebola Virus Disease (EVD)

transmission risk. PLoS Negl Trop Dis. 2022;

(3):e0010080.

Raghavan R, Dreibelbis C, Kingshipp BL, Wong YP,

Abrams B, Gernand AD, Rasmussen KM, SiegaRiz AM, Stang J, Casavale KO, Spahn JM and

Stoody EE. Dietary patterns before and during

pregnancy and maternal outcomes: a systematic

review. Am J Clin Nutr. 2019; 109(Suppl_7):705s728s.

Harding KB, Peña-Rosas JP, Webster AC, Yap CM,

Payne BA, Ota E and De-Regil LM. Iodine

supplementation for women during the

preconception, pregnancy and postpartum period.

Cochrane Database Syst Rev. 2017;

(3):Cd011761.

Donovan S, Dewey K, Novotny R, Stang J, Taveras E,

Kleinman R, Raghavan R, Nevins J, ScintoMadonich S, Butera G, Terry N and Obbagy J.

USDA Nutrition Evidence Systematic Reviews.

Maternal Diet during Pregnancy and Lactation and

Risk of Child Food Allergies and Atopic Allergic

Diseases: A Systematic Review. USDA Nutrition

Evidence Systematic Review; 2020.

De-Regil LM, Palacios C, Ansary A, Kulier R and PeñaRosas JP. Vitamin D supplementation for women

during pregnancy. Cochrane Database Syst Rev.

; 2(2):Cd008873.

Urgell-Lahuerta C, Carrillo-Álvarez E and Salinas-Roca

B. Interventions on Food Security and Water Uses

for Improving Nutritional Status of Pregnant

Women and Children Younger Than Five Years in

Low-Middle Income Countries: A Systematic

Review. Int J Environ Res Public Health. 2021;

(9)

Dewidar O, John J, Baqar A, Madani MT, Saad A, Riddle

A, Ota E, Kung'u JK, Arabi M, Raut MK, Klobodu

SS, Rowe S, Hatchard J, Busch-Hallen J, Jalal C,

Wuehler S and Welch V. Effectiveness of nutrition

counseling for pregnant women in low- and middleincome countries to improve maternal and infant

behavioral, nutritional, and health outcomes: A

systematic review. Campbell Syst Rev. 2023;

(4):e1361.

Imanpour V, Khoshhali M, Goodarzi-Khoigani M and

Kelishadi R. Systematic review and meta-analysis

of nutritional interventions to prevent of gestational

hypertension or/and preeclampsia among healthy

pregnant women. J Res Med Sci. 2023; 28:25.

Riggs E, Kilpatrick N, Slack-Smith L, Chadwick B,

Yelland J, Muthu MS and Gomersall JC.

Interventions with pregnant women, new mothers

and other primary caregivers for preventing early

childhood caries. Cochrane Database Syst Rev.

; 2019(11)

Aoyama T, Li D and Bay JL. Weight Gain and Nutrition

during Pregnancy: An Analysis of Clinical Practice

Guidelines in the Asia-Pacific Region. Nutrients.

; 14(6)

Demétrio F, Teles CAS, Santos DBD and Pereira M. Food

insecurity in pregnant women is associated with

social determinants and nutritional outcomes: a

systematic review and meta-analysis. Cien Saude

Colet. 2020; 25(7):2663-2676.

Zhang J, Li Q, Song Y, Fang L, Huang L and Sun Y.

Nutritional factors for anemia in pregnancy: A

systematic review with meta-analysis. Front Public

Health. 2022; 10:1041136.


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