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目的:探讨孕产期保健服务对低危孕妇分娩结局的影响。方法:将2011年11月~2012年11月在北方学院附属第一医院产科门诊就诊的低危孕妇随机分为试验组和对照组,试验组479例,由高年资助产士定期产检,在孕期各阶段实施多项保健服务;对照组485例,接受常规产科门诊检查;比较两组的分娩结局。结果:两组侧切自然分娩率、自然产率、剖宫产率及新生儿体重≥3 800 g的比例,阴道分娩孕妇总产程时间,产后出血量,因头盆不称、羊水过少、胎膜早破、巨大儿、枕后位、脐带绕颈及其他原因的剖宫产率比较差异有统计学意义(P<0.05)。结论:积极开展孕产期保健服务项目可有效降低剖宫产率、提高阴道产率、缩短产程时间、减少产后出血量,对母儿日后生活质量有重要意义。
Objective: To investigate the impact of maternal health care services on delivery outcomes of low-risk pregnant women. Methods: From November 2011 to November 2012, low-risk pregnant women in Obstetrics and Gynecology Clinic of the First Affiliated Hospital of North China University were randomly divided into experimental group and control group. The experimental group received 479 cases of regular pregnancy test, Various stages of the implementation of a number of health services; control group of 485 cases, receiving routine obstetric examination; comparison of the two groups of delivery outcomes. Results: The ratio of spontaneous labor rate, spontaneous labor rate, cesarean section rate and neonatal weight≥3 800 g, total labor duration of vaginal delivery, postpartum hemorrhage, infantile hypohydramnios, The rate of cesarean section with premature rupture of membranes, giant children, posterior occiput posterior position, umbilical cord around the neck and other causes were significantly different (P <0.05). Conclusion: Actively carry out maternal health care services can effectively reduce the cesarean section rate, improve vaginal delivery rate, shorten the duration of labor, reduce the amount of postpartum hemorrhage, quality of life for the future of maternal and child is of great significance.