Huang Chuan-Ya, Luo Bi-Ru, Hu Juan
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education.
Department of Nursing, West China Second University Hospital/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Medicine (Baltimore). 2020 Jun 5;99(23):e20626. doi: 10.1097/MD.0000000000020626.
The World Health Organization recommended that the oral intake of low-risk pregnant women during labor should not be restricted. Hospitals in different countries take different measures to manage the intake during labor, but it is not clear about the current situation of oral intake management measures in the hospital during labor in China. Thus, the objective of this study was to investigate the current situation of oral intake management measures during labor in China, so as not only provide references for developing appropriate midwifery technology training and formulating relevant policies, but also provide a basis for exploring and implementing better oral intake management measures in the future.A cross-sectional survey was conducted. From December 2017 to November 2018, the oral intake management measures of 1213 hospitals in 22 provinces, cities, and autonomous regions in China were investigated by a self-designed questionnaire. χ test was used for statistical analysis.Different hospitals in China have adopted different oral intake management measures. Among the 1213 hospitals, 939(77.4%) hospitals took measures to allow pregnant women to bring the easily digestible food, 813(67.0%) hospitals took measures to allow pregnant women to eat what she wanted to eat. Few hospitals provide pregnant women with oral nutrition solution or provide a suitable diet for pregnant women. Thirty-four (2.8%) hospitals still restrict pregnant women's fluid intake.Oral intake management measures that are more suitable for Chinese pregnant women should be explored to better ensure the women energy needs and they safely go through childbirth.
世界卫生组织建议，不应限制低风险孕妇在分娩期间的口服摄入量。不同国家的医院在管理分娩期间的摄入量方面采取了不同措施，但目前尚不清楚中国医院分娩期间口服摄入量管理措施的现状。因此，本研究的目的是调查中国分娩期间口服摄入量管理措施的现状，不仅为开展适当的助产技术培训和制定相关政策提供参考，也为未来探索和实施更好的口服摄入量管理措施提供依据。开展了一项横断面调查。2017年12月至2018年11月，通过自行设计的问卷对中国22个省、市、自治区的1213家医院的口服摄入量管理措施进行了调查。采用χ检验进行统计分析。中国不同医院采取了不同的口服摄入量管理措施。在这1213家医院中，939家（77.4%）医院采取措施允许孕妇自带易消化食物，813家（67.0%）医院采取措施允许孕妇想吃什么就吃什么。很少有医院为孕妇提供口服营养溶液或为孕妇提供合适的饮食。34家（2.8%）医院仍限制孕妇的液体摄入量。应探索更适合中国孕妇的口服摄入量管理措施，以更好地确保孕妇的能量需求并使其安全度过分娩期。
