Status of energy management during childbirth: an observational study.

Abstract

Objective: To assess maternal energy intake and energy demand during childbirth, to understand the current status of energy management during childbirth, and to provide reference for midwives to manage childbirth.

Methods: Thirty-seven deliveries in a tertiary hospital were selected for observational study to compare the energy intake and energy demand of the mothers, and the mothers with energy intake greater than the energy demand were divided into the energy standard group and the mothers with energy intake less than the energy demand were divided into the energy non-standard group. Energy intake is measured by the mother's diet and fluid rehydration, finally, it will be converted into energy. Daily energy demand = energy coefficient * ideal body weight, the daily energy demand was converted into the actual energy demand by the duration of childbirth. Finally, the effects of energy during childbirth on the outcome of pregnancy were tracked and analyzed.

Results: There were 19 cases of patients in the energy-attainment group and 18 cases of patients in the energy-unattainment group, energy intake (4517.35 ± 1689.90) KJ and energy demand (3149.00 ± 1294.41) KJ in the energy-attainment group, and energy intake (3117.54 ± 1671.11) kJ and energy demand (4704.66 ± 1941.31) in the energy-unattainment group. kJ. The total duration of childbirth in the energy-attainment group was (512.21 ± 185.67) min, and the total duration of childbirth in the energy-unattainment group was (765.44 ± 315.83) min, and the comparison of the two groups suggests that the total duration of childbirth in the energy-attainment group was less than that in the energy-unattainment group, and the difference was statistically significant (T = -2.953, p < 0.05); three cases of postpartum hemorrhage occurred in the energy-unattainment group, and two cases of neonatal hypoglycemia, and the difference between the two groups was not statistically significant.

Conclusion: Mothers in childbirth generally have energy substandard situation, energy substandard affects the progress of childbirth, so midwives can encourage mothers to carry out the appropriate kinds of food in different stages of childbirth, to ensure that the energy intake is sufficient.