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 obser...

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Main Authors: Li Yao, Huang Meiling, Chen Yun, Li Haishan, Jiang Ziyan, Cao Zhongyan, Yin Jinzhu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07172-4
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author Li Yao
Huang Meiling
Chen Yun
Li Haishan
Jiang Ziyan
Cao Zhongyan
Yin Jinzhu
author_facet Li Yao
Huang Meiling
Chen Yun
Li Haishan
Jiang Ziyan
Cao Zhongyan
Yin Jinzhu
author_sort Li Yao
collection DOAJ
description 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.
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spelling doaj-art-4313840f98a64a20823f2a9f14df1dfc2025-08-20T02:15:08ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-012511710.1186/s12884-025-07172-4Status of energy management during childbirth: an observational studyLi Yao0Huang Meiling1Chen Yun2Li Haishan3Jiang Ziyan4Cao Zhongyan5Yin Jinzhu6Department of Obstetric, Shenzhen Baoan Women’s and Children’s HospitalDepartment of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical UniversitySchool of Nursing, Guangzhou Medical UniversitySchool of Nursing, Guangzhou Medical UniversityAbstract 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.https://doi.org/10.1186/s12884-025-07172-4ChildbirthDuration of childbirthEnergy in childbirthEnergy intakeEnergy demand
spellingShingle Li Yao
Huang Meiling
Chen Yun
Li Haishan
Jiang Ziyan
Cao Zhongyan
Yin Jinzhu
Status of energy management during childbirth: an observational study
BMC Pregnancy and Childbirth
Childbirth
Duration of childbirth
Energy in childbirth
Energy intake
Energy demand
title Status of energy management during childbirth: an observational study
title_full Status of energy management during childbirth: an observational study
title_fullStr Status of energy management during childbirth: an observational study
title_full_unstemmed Status of energy management during childbirth: an observational study
title_short Status of energy management during childbirth: an observational study
title_sort status of energy management during childbirth an observational study
topic Childbirth
Duration of childbirth
Energy in childbirth
Energy intake
Energy demand
url https://doi.org/10.1186/s12884-025-07172-4
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AT lihaishan statusofenergymanagementduringchildbirthanobservationalstudy
AT jiangziyan statusofenergymanagementduringchildbirthanobservationalstudy
AT caozhongyan statusofenergymanagementduringchildbirthanobservationalstudy
AT yinjinzhu statusofenergymanagementduringchildbirthanobservationalstudy