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首页> 外文期刊>American Journal of Public Health Research >Determination of the Intervention Strategies for the Prevention of Fetal Macrosomia Dependent Cesarean Sections in Nigeria
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Determination of the Intervention Strategies for the Prevention of Fetal Macrosomia Dependent Cesarean Sections in Nigeria

机译：确定预防尼日利亚巨大胎儿依赖的剖宫产的干预策略

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Background: Subsequent to the rising cesarean section rates worldwide over the past three decades, this study was done to determine the risk factors that predispose to fetal macrosomia with the aim of determining the intervention strategies for preventing fetal macrosomia dependent cesarean sections in Nigeria. Subjects and Methods: A record review of the birth weights of 2410 babies delivered in St Philomena’s Hospital, a survey of the nutritional habits of 75 mothers of macrosomic babies attending postnatal clinic within the study period, and an assessment of the level of awareness’ of the fasting blood glucose status of 75 mothers of macrosomic babies and 330 pregnant women with interviewer administered questionnaire were done. Results: The prevalence rate for fetal macrosomia in St Philomena’s Hospital was 8.4% during the study period. Cesarean section rate among women with fetal macrosomia was 39.2% compared to a rate of 18% in women who gave birth to babies with normal birth weight. It was also found that most pregnant women and mothers of macrosomic babies were not aware of their fasting blood glucose status. Majority of mothers of macrosomic babies preferred high glycemic index diets and also consumed sugary beverages on daily basis. Conclusion: Fetal macrosomia is a preventable outcome of pregnancy in the presence of moderate dietary restriction, low glycemic index diets as well as the inclusion of dietary fiber in the diet of pregnant women. Furthermore, a lower incidence of fetal macrosomia is capable of reducing cesarean section rates in Nigeria.
机译：背景：在过去的三十年中，全球剖宫产率上升之后，本研究旨在确定易患胎儿巨大儿的危险因素，目的是确定在尼日利亚预防依赖胎儿巨大儿的剖宫产的干预策略。研究对象和方法：对圣菲洛梅纳医院分娩的2410例婴儿的出生体重进行记录回顾，对研究期间进入产后诊所就诊的75名大体质婴儿的母亲的营养习惯进行了调查，并评估了对婴儿的知觉水平。对75名大型体质母亲和330名孕妇进行了访调员问卷调查，得出空腹血糖水平。结果：在研究期间，St Philomena医院的胎儿巨大儿患病率为8.4％。胎儿巨大儿的剖腹产率为39.2％，而分娩体重正常的婴儿的剖腹产率为18％。还发现，大多数孕妇和大型婴儿的母亲都不知道自己的空腹血糖状况。大多数大体上婴儿的母亲偏爱高血糖指数的饮食，并且每天都食用含糖饮料。结论：在存在中等饮食限制，低血糖指数饮食以及在孕妇饮食中包括膳食纤维的情况下，胎儿巨大儿是可预防的妊娠结局。此外，在尼日利亚，较低的胎儿巨大儿发生率能够降低剖宫产率。

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