Objective:Objective To explore the special role of nutrition specialists in the one-day-care clinic of gestational diabetes mellitus (GDM), and provide a basis for strengthening the standardized construction of one-day-care clinic.Methods:It was a retrospective observation study that the pregnant women who participated in the one-day-care clinic of GDM in our hospital without nutrition specialists in November and December 2017 were divided into control group (177 cases), and who participated in the one-day-care clinic of GDM in our hospital with nutrition specialists in January and February 2018 were divided into observation group (307 cases). The differences of pregnancy outcomes between the two groups were compared after the propensity score matching.Results:176 pairs of patients were successfully matched with a 1:1 propensity score. The incidence of macrosomia in pregnant women with GDM in the observation group (2.8%) was significantly lower than that in the control group (8.5%) ( P=0.036). There were no significant differences in the weight gain during pregnancy, the gestational week of delivery and the incidences of insulin use, hypertension during pregnancy, preeclampsia, cesarean section, premature infants, premature rupture of membranes, umbilical cord around the neck, and fetal distress between the two groups ( P>0.05). Conclusion:Nutrition specialists are indispensable in the multidisciplinary cooperation of one-day-care clinic of GDM, and they play a key role in considerably lowering the prevalence of macrosomia in GDM pregnant women.

Objective To investigate the effect of analgesia mixed liquor without droperidol in postoperative analgesia of uterine-incision delivery. Method The 154 cases with uterine-incision delivery were divided into the observe group and the control group. The control group received the analgesia mixed liquor with droperidol, and the observe group received the analgesia mixed liquor without droperidol. Results The scores of VAS in 4hour, 8hour, 12hour and 24hour in the observe group after operation were same to those in control group, and there were no significant difference in them respectively ( P> 0.05 ).The effect of analgesia in the observe group after operation were same to those in control group, and there were no significant difference in them respectively(P>0.05 ).The incidence rate of extrapyramidal in the observe group after operation was fewer than that in control group, and there were significant difference in them respectively ( P< 0.05 ). Conclusion The effect of analgesia mixed liquor without droperidol in postoperative analgesia of uterine-incision delivery is equal to that of analgesia mixed liquor with droperidol, and it is safer.