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USING THE NUTRITIONAL SCALE OF HOCHIMINH NUTRITIONAL CENTER FOR ASSESSING PREGNANT WOMEN WHO GIVING BIRTH AT A GENERAL HOSPITAL IN THE SOUTH OF BINH THUAN
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Abstract
Background: An appropriate and healthy diet during pregnancy plays an important role to help fetus become growth and wellbeing. The study is aimed to determine the prevalence of poor nutrition by using the nutritional scale of Ho Chi Minh Nutritional Center. Methods: The cross-sectional descriptive study is carried out from November 1st 2020 to May 31st 2021. We applied the nutritional scale of Ho Chi Minh Nutritional Center to assess the nutrition status in 330 pregnant women before giving birth at the general hospital in the South of Binh Thuan. Pregnant women who are considered as risk of nutrition disorders at the cutoff at 2.0 according to Ho Chi Minh Nutritional Center. All pregnant women at risk are closely followed at delivery room and post-partum to evaluate further adverse maternal and neonatal outcomes. Results: The prevalence of pregnant women at risk for nutritional disorders is 17.0% (95% CI 13.3-21.8). Maternal outcomes are 2.1% (95%CI:0.6–3.9) including preeclampsia/eclampsia (1.5%), post-partum haemorrhage (0.6%), placental abruption preterm birth (0.6%), postpartum infection (0.3%). Neonatal outcomes are found in 2.4% (CI 95%: 0.9 – 4.2) including perinatal intervention (0.6%), emergency of pediatric transfer (2.1%), severe neonatal jaundice (0.9%), referral for treatment (0.9%). Pregnant women from ethnic minorities have 4.8 times higher risk for nutritional disorders pregnancy (OR=4.8; 95% CI: 1.01-22.5) than the ones who are in majority ethnics. Women with low body mass index (BMI <18.5) before getting pregnant are identifed 64.1 times higher risk for nutritional disorders than the ones with healthy body (OR=64.1; 95% CI: 11.2-368.3). There is a significant relation between the nutrition disorders during pregnancy and adverse outcomes at delivery and post-partum (p<0.05). Conclusion: The nutritional scale of Ho Chi Minh Nutritional Center at the cutoff of 2.0 to screen pregnant women, who are at risk for nutritional disorders during pregnancy, and to predict the neonatal and maternal outcomes.
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Keywords
Nutritional scale, nutritional disorders in pregnancy, adverse outcomes
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