Nutritional Intervention Leads to Successful Re-pregnancy of Pregnant Women with Severe Preeclampsia: A Case Report.

OBJECTIVE: Preeclampsia is a common and serious pregnancy complication, with a high risk of onset in clinical practice, which seriously affects the physical and mental health of patients. Insufficient nutrition is considered as one of the factors contributing to the occurrence of preeclampsia, but there are few reports on the prevention of preeclampsia through nutritional interventions. This study reports the effects of personalized nutritional support on a second pregnancy in a woman with severe preeclampsia.

METHODS: A patient with familial inherited nephropathy was followed up postpartum, and nutritional interventions including light diet, avoid spicy food, according to the principle of carbohydrate accounting for 55%-65%, fat accounting for 20%-30%, protein accounting for 10%-15%, were performed according to her individual circumstances after her second pregnancy. Moreover, the kidney function index was detected regularly by quantitative detection of urine protein in the course of pregnancy, and the pregnancy status was observed.

RESULTS: After the nutritional intervention, the 24 h urinary protein quantification and plasma albumin were decreased with the increase of gestational age, while urinary occult blood was progressive negative conversion, indicating that the kidney function of the pregnant woman gradually recovered but did not reach the normal level. Moreover, the fetal development was normal.

CONCLUSION: Dietary nutrition treatment during pregnancy and active cooperation during pregnancy can effectively prevent the recurrence of preeclampsia in high-risk pregnant women. However, further research or larger studies are still needed to validate these findings.