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目的探讨个体化饮食指导对初产妇及胎儿的影响。方法188例初产妇，随机分为两组。干预组除了接受常规的产前教育，在妊娠早、中、晚期分别接受一对一的个体化饮食指导，对照组只接受医院常规的产前教育。结果干预组初产妇血糖控制满意度高；与对照组相比有统计学意义(<0.05)。新生儿巨大胎儿的发生率降低，新生儿出生并发症无显著统计学意义。结论个体化饮食指导能够降低妊娠期并发症和相关新生儿并发症的发生率，提高围产保健质量。“,”Objective To investigate the ef ect of individualized diet instruction on the initial maternal and fetal.Methods 88 cases were randomly divided into two groups.The intervention group received a one individualized diet instruction in early pregnancy, middle late and late stage except for the routine prenatal education, and the control group received only the routine prenatal education in hospital.Results Pre group primipara glycemic control satisfaction;was statistical y significant compared with the control group ( <0.05).The incidence of fetal giant fetal was decreased, and there was no significant neonatal complication.Conclusion Individualized diet can reduce the incidence of complications and neonatal complications, improve the quality of perinatal health care.