個別指導による晩期妊娠中毒症の食餌療法

抄録

The diet therapy for the toxemia of pregnancy in the third trimester seems to be of considerable importance, although attention has been paid mainly to the use of diuretics for the improvement of symptoms. A study was undertaken to observe the clinical significance of diet therapy of 65 outpatients. Dietitians interviewed these patients at the clinic giving individual instructions on the diet. The daily intake of nutrients of these patients was calculated as follows; at first, menus for three days were prepared by the patients themselves according to the recomendation from the obstetricians and the dietitians. Then, the percentage intakes of individual foods were calculated. Based on the daily intake the appropriate amounts of foods which each patient should take was determined. Clinical effects of the diet therapy were evaluated on the basis of a pregnogram which was designed to indicate body weight, blood pressure, circumferential length of abdomen, proteinuria, etc. In selected cases, blood levels of both cholesterol and triglyceride were determined. It was found that toxemia during late pregnancy was strikingly improved by individual instruction on the diet by the dietitian (82.4% improvement). Serum triglyceride levels in toxemia patients were higher than those in normal pregnants, however, no difference in the cholesterol level was found in both groups. Toxemia patients appeared to have a tendency to consume foods containing cholesterol and sugar.