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J Korean Soc Matern Child Health > Volume 21(1); 2017 > Article
Journal of The Korean Society of Maternal and Child Health 2017;21(1):75-85.
DOI: https://doi.org/10.21896/jksmch.2017.21.1.75    Published online January 31, 2017.
Impact of Maternal Nutrition Management During Pregnancy on Perinatal Outcome, in One of the Pilot area of Gyeonggi-do Province
Soo Jin Lee1, Kyung A Koo2, Duck Hwa Kim1, Myung Ok Hwang3, Chun Young Sohn4, Yoo Kyoun Park1, Jeong In Yang2
1Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee university, Yongin, Korea
2Department of obstetrics and gynecology, Ajou University Hospital, Suwon, Korea
3Suwon-si Center for Children's Foodservice Mangement, Suwon, Korea
4Department of Food and Nuutrition, Dongnam Health University, Suwon, Korea
경기도시범지역 내 산모의 임신 중 영양관리가 주산기 결과에 미치는 영향
이수진1, 구경아2, 김덕화1, 황명옥3, 손춘영4, 박유경1, 양정인2
1경희대학교 동서의학대학원 의학영양학과
2아주대학교병원 산부인과
3수원시 어린이 급식관리지원센터
4동남보건대학교
Correspondence:  Yoo Kyoun Park,
Email: ypark@khu.ac.kr
Abstract
Purpose
Proper management of nutrition or health care for pregnant women is known to have better perinatal outcomes for maternal and neonatal health. In this study, we investigated the effect of regular medical and nutritional counseling provided to pregnant women for improved-results for mother and neonates.
Methods
Thirty-five pregnant women participated in the study and received information on nutrition management via telephone or e-mail every four weeks until childbirth. The nutrition management program comprised proper diet, low-salt diet, low-sugar diet, breast-feeding preparation, and provision of a healthy menu according to their pregnancy trimesters. We categorized them by their degree of participation into a "low participation group" that formed the control group, and a "high participation group" as the study group.
Results
No significant differences were found in maternal age, and body mass index between the two groups at the time of enrollment in the study. Post-natal exclusive breast feeding rate was significantly higher in the high participation group (62%) than in the low participation group (32%) (p<0.05). In the neonatal results, gestational age at birth and neonatal birth weight were significantly higher in the high participation group than in the low participation group (p<0.05). Neonatal complication rate, neonatal admission rate to intensive care unit, rate of low birth weight, Apgar score at 1 and 5 minutes, as well as the rate of transient tachypnea were higher in the low participation group, but lacked any statistically significant difference.
Conclusion
Collaborative nutrition management with obstetricians and nutritionists is helpful in achieving better perinatal outcomes.
Key Words: perinatal complications, nutrition management, pregnancy outcomes
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