在分娩妇女的口服摄入管理:一个范围审查
Chenping Zhu1, Lin Zhou2, Yongjie Tang1
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Frontiers in medicine
|November 13, 2025
概括
在分娩期间管理口服摄入有助于维持能量和稳定血糖,防止低风险女性的酸性脂肪酸症. 适度摄入是安全的,不会延长分娩时间,但个性化计划是关键.
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:
- 劳动是代谢要求很高,由于脂肪分解,有风险发生症和酸性疾病.
- 在分娩期间有效的口服摄入管理对于母亲和新生儿的健康至关重要.
- 以前的研究已经探索了分娩期间的各种饮食策略.
研究的目的:
- 审查在分娩期间口服摄入管理对孕产妇和新生儿结果的影响.
- 综合关于不同口服摄入策略的安全性和有效性的证据.
- 为分娩妇女确定最佳的饮食建议.
主要方法:
- 按照阿克西和奥马利的框架进行范围审查.
- 在多个数据库 (PubMed,科学网,Embase等) 进行系统的文献搜索. 在2025年5月之前.
- 包括17项研究 (15项RCT,2项观察性) 涉及13,141名低风险分娩者.
主要成果:
- 适度口服并没有延长分娩时间,也没有对低风险女性造成重大伤害.
- 口服有助于维持能量消耗,稳定血糖,预防低血糖和酸性.
- 研究了各种口服摄入量,包括富含碳水化合物的饮料和同位素饮料.
结论:
- 在分娩期间适度口服对低风险女性的能量和代谢稳定性有益.
- 多学科方法和个性化计划对于优化口服摄入至关重要.
- 建议在分娩早期采用轻碳水化合物饮食,第二阶段采用高蛋白/同位素饮料.
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