Objective:To investigate the application effect of individualized nutrition education in the prenatal follow-up of community.Method:One hundred and twenty pregnant women who accepted perinatal health care services in Lingnan Street Community Health Center of Guangzhou Liwan District from May 2012 to May 2013 were selected,they were divided into the control group and the research group according to the random number table method,60 cases in each group.The control group only received routine prenatal follow-up,the research group received individualized nutrition education on the basis of the control group.The nutrition related knowledge of pregnant women,the average weight gain during pregnancy,the incidence of gestational diabetes mellitus, delivery mode and neonatal weight between the two groups were observed and compared.Result:The awareness rate of pregnancy balanced diet pagoda,relationship between nutrients and pregnancy,nutrients contained in food in the research group were 85.0%,86.7%,88.3% respectively,which were significantly higher than 65.0%,66.7%and 63.3% in the control group,the average weight gain during pregnancy of the research group was (13.85±1.29)kg, which was significantly lighter than (14.52±1.55)kg of the control group,the neonatal weight pf the research group was (3.39±0.24)kg ,which was significantly lighter than (3.51±0.31)kg of the control group,the differences were statistically significant(P<0.05).The incidence of gestational diabetes mellitus and cesarean section rate in the research group were 5.0% and 41.7%,which were significantly lower than 16.7% and 60.0% in the control group,the differences were statistically significant(P<0.05).Conclusion:Individualized nutrition education in the community can help pregnant women master pregnancy nutrition knowledge,increase maternal weight appropriately,reduce the occurrence of gestational diabetes and the cesarean section rate,and improve the health standard of pregnant women,promote maternal and child health,with far-reaching practical significance, is worthy of application in community.%目的：探讨个体化营养教育在社区产前随访应用的效果。方法：选择2012年5月-2013年5月在广州市荔湾区岭南街社区卫生服务中心接受围产保健服务的孕妇120例，采用随机数字表法将其分为对照组和研究组，每组各60例。对照组只接受常规产前随访，研究组在对照组的基础上接受个体化营养教育。观察比较两组孕妇相关营养知识知晓情况、孕期体重增加值、妊娠期糖尿病发生情况、分娩方式及新生儿体重。结果：研究组的孕期平衡膳食宝塔知晓率、营养素与妊娠关系知晓率、食物所含的营养素知晓率分别为85.0%、86.7%、88.3%，均明显高于对照组的65.0%、66.7%和63.3%，平均孕期增重（13.85±1.29）kg明显轻于对照组的（14.52±1.55）kg，新生儿体重（3.39±0.24）kg明显轻于对照组的（3.51±0.31）kg，差异均有统计学意义（P<0.05）。研究组的妊娠期糖尿病发生率、剖宫产率分别为5.0%、41.7%，均明显低于对照组的16.7%、60.0%，差异均有统计学意义（P<0.05）。结论：个体化营养教育在社区产前随访应用可以帮助孕妇掌握孕期营养知识，使孕妇体重增长适宜，减少妊娠期糖尿病的发生，降低剖宫产率，提高孕期妇女健康水平，促进母婴健康，具有深远的现实意义，值得社区推广应用。
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