Influences of Normative Medical Nutrition Management Based on Health Concepts on Weight Control and Maternal and Infant Outcomes in Women of Advanced Maternal Age

Fei  Zhao; Bingjun  Ji; Shuying  Mu; Mei  Jin

doi:10.18502/ijph.v54i2.17911

Fei Zhao School of Public Health, Shandong Second Medical University, Weifang City, Shandong Province, 261053, China
Bingjun Ji Department of Radiology, Sunshine Union Hospital, Weifang City, Shandong Province, 261031, China
Shuying Mu Department of Ultrasound, Sunshine Union Hospital, Weifang City, Shandong Province, 261031, China
Mei Jin School of Public Health, Shandong Second Medical University, Weifang City, Shandong Province, 261053, China

DOI: https://doi.org/10.18502/ijph.v54i2.17911

Keywords: Health; Nutrition; Weight control

Abstract

Background: We aimed to explore the effects of normative medical nutrition management based on health concepts on weight control and maternal and infant outcomes in women of advanced maternal age.

Methods: Overall, 112 women of advanced maternal age were divided into the control group and observation group by random number table method. The control group was given routine intervention, and the observation group was given normative medical nutrition management based on health concepts. The nutritional status, delivery status, weight control, and adverse pregnancy outcomes were compared, and maternal mental state during delivery was evaluated by State-Trait Anxiety Inventory Questionnaire (STAI).

Results: The nutritional status of the observation group was better than that of the control group. The weight gain during pregnancy and newborn weight of the observation group were lower than that of the control group. The second stage of labor and total labor in the observation group were shorter than those in the control group were (P < 0.05). The spontaneous delivery rate of the observation group was higher than that of the control group; while the cesarean section rate was lower (P < 0.05). The S-AI and T-AI scores of the observation group were lower than those of the control group (P < 0.05). The incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group (P < 0.05).

Conclusion: Normative medical nutrition management based on health concepts can help to control weight, improve nutritional status, improve anxiety, and reduce cesarean section rate and the incidence of adverse pregnancy outcomes.