在分娩期间能源管理的状态:一项观察性研究
Li Yao1, Huang Meiling2, Chen Yun3
1Department of Obstetric, Shenzhen Baoan Women's and Children's Hospital, Shenzhen, 518100, China. 1031841600@qq.com.
BMC pregnancy and childbirth
|February 18, 2025
概括
在分娩期间,母亲的能量摄入量往往不足,这会影响分娩时间. 助产士应该指导母亲适当的营养,以确保足够的能量水平,使分娩过程更顺利.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 营养科学 营养科学
背景情况:
- 出生对母亲来说是一个代谢要求很高的过程.
- 在分娩期间有效的能量管理对于母亲和胎儿的健康至关重要.
- 目前用于监测和管理分娩期间母亲的能量平衡的做法需要评估.
研究的目的:
- 为了评估母亲的能量摄入与分娩期间的能量消耗.
- 为了确定在分娩期间母亲中能量失衡的普遍性.
- 为助产士提供基于证据的建议,帮助他们管理母亲的能量状况.
主要方法:
- 进行了一项涉及37次分娩的观察性研究.
- 量化了母亲的能量摄入量 (饮食和液体) 和能量需求 (根据体重和分娩时间计算).
- 参与者被分为"能源标准" (摄入量≥需求) 和"能源非标准" (摄入量<需求) 组.
主要成果:
- "能量达到"组的能量摄入量较高,与"能量未达到"组相比,能源需求较低.
- "能量达到"组的分娩时间显著缩短 (512.21分钟与765.44分钟相比).
- 虽然没有统计学意义,但"能量不达到"组显示出增加不良结果的趋势,如产后出血和新生儿低血糖症.
结论:
- 很大一部分母亲在分娩期间经历了能量缺乏.
- 能量摄入不足会对分娩的进展和持续时间产生负面影响.
- 助产士在优化产妇分娩期间的营养方面发挥着至关重要的作用,以支持产生的积极结果.
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