摘要
目的评价健康教育在孕妇分娩结局中的作用和意义。方法选择2004年7月至2005年3月间2 181例在广州市妇婴医院进行分娩的初产妇,随机分为实验组和对照组,对试验组进行产前系统的健康教育课程后,对两组的分娩方式、产后出血量、产程和新生儿窒息率分别用SPSS12.0进行统计分析。结果实验组剖宫产率20.96%、助产率12.72%,显著低于对照组的57.83%和15.95%,而顺产率(66.32%)则高于对照组(26.22%),实验组在分娩24小时后的平均出血量为(244.25±82.84)mL,新生儿窒息率为4.56%,均低于对照组出血量(397.92±58.75)mL,新生儿窒息率10.09%。实验组和对照组的第一、二产程时间也有显著性差异(P<0.05)。结论健康教育能降低剖宫产率、缩短产程、减少产后出血及新生儿窒息率,对促进分娩良好的结局具有积极作用。
Objective To investigate effect of antepartum health education on delivery outcomes of primiparae. Methods 2 181 inpatient pregnant women delivered in Guangzhou Municipal Maternity and Infant Health Hospital over a period from July, 2004 to March, 2005 were randomly divided into two groups： The study group and the control group. 1 140 pregnant women who had received antepartum training were included in the study group and 1 041 untrained ones were included in the control group. Pattern of delivery, amount of postpartum hemorrhage, duration of labor stages, and neonatal asphyxia rate in the two groups were observed and compared. The data were analyzed using Statistical Package for the Social Science （SPSS）12.0. Results In the study group, the cesarean section rate was 20.96% and the obstetrical vaginal Operation rate was 12.72%, which were lower than 57.83% and 15.95% in the control group respectively. While the natural delivery rate （66.32%） was higher than that in the control group（26.22% ）. The average hemorrhage amount at 24 hours after delivery was 244.25 ± 82.84 mL, and the neonatal asphyxia rate was 4.56%, which were lower than those in the control group （397.92 ± 58.75mL, 10.09%, respectively） （P 〈 0.05）. In durations of the first and the second stage of labor in the study group were shorter than those in the control group, there were significant difference （P 〈0.05）. In duration of the third stage of labor, there was no significant difference between the two groups （P 〉 0.05 ）. Conclusion Antepartum systemic health education can increase the natural delivery rate, reduce the cesarean section rate, and shorten the process of labor, lessen the postpartum hemorrhage amount and decrease the neonatal asphyxia rate, which are contributive to better delivery outcomes.
出处
《中国妇幼健康研究》
2007年第2期111-112,共2页
Chinese Journal of Woman and Child Health Research
关键词
健康教育
初产妇
新生儿窒息
分娩结局
health education
primipara
neonatal asphyxia rate
delivery outcome
