摘要
目的探讨孕前优生教育对孕妇优生优育的影响。方法选取2015年1月~2017年1月在我院孕检且了解分娩结局的1800例孕妇作为研究对象,根据有无接受孕前健康教育,将其分为接受孕前健康教育组(A组,869例)和未接受孕前健康教育组(B组,931例)。采用调查问卷的方式,比较两组孕妇的优生知识知晓率、孕前及孕期危险因素暴露情况。同时比较两组孕妇的分娩方式及不良妊娠结局。结果 A组孕妇对优生知识的知晓率(95.51%)显著高于B组(89.04%),差异有统计学意义(P<0.05)。A组孕妇自己或丈夫吸烟(包括吸二手烟)以及喝酒的概率(1.15%、0.00%)均显著低于B组(6.98%、1.72%),差异有统计学意义(P<0.05),两组孕妇孕前接受潜在电辐射>8 h、孕前服药、遗传病的概率比较,差异无统计学意义(P>0.05)。A组孕妇的剖宫产率(32.68%)及阴道助产率(0.00%)显著低于B组(42.21%,0.64%),自然分娩率(66.40%)显著高于B组(55.96%),差异有统计学意义(P<0.05)。两组孕妇医学性人工流产及因重大缺陷引产发生率比较,差异无统计学意义(P>0.05)。A组孕妇早产、巨大儿和出生缺陷的发生率(3.34%、1.15%、0.46%)显著低于B组(8.38%、2.58%、1.50%),差异有统计学意义(P<0.05),两组孕妇低出生体重儿发生率比较,差异无统计学意义(P>0.05)。结论孕前优生健康教育有利于提高孕妇对优生知识的认知度,改变不良生活习惯,改善分娩方式,减少不良妊娠结局。
Objective To investigate the effect of eugenic health education before pregnancy on eugenics of pregnant women.Methods From January 2015 to January 2017,1800 pregnant women who received pregnancy test and whose pregnancy outcomes were known in our hospital were selected as research objects.According to whether or not to accept the health education before pregnancy,the subjects were divided into the receiving health education group （group A,869 cases） and the not receiving health education group （group B,931 cases）.A questionnaire survey was carried out to know the awareness rate of eugenic knowledge,the exposure of risk factors before pregnancy and during pregnancy.And the mode of delivery and adverse pregnancy outcomes were compared.Results The awareness rate of eugenic knowledge in group A （95.51%） was higher than that in group B （89.04%）,and the difference was statistically significant （P〈0.05）.The probabilities of pregnant woman or her husband smoking （including second-hand smoke） and drinking in group A （1.15%, 0.00%） were lower than those in group B （6.98%,l.72%）,the differences were statistically significant （P〈0.05）.There was no significant difference between the two groups in the probabilities of receiving potential electric radiation for longer than 8 h,medication before pregnancy and genetic diseases （P〉0.05）.The cesarean delivery rate （32.68%） and vaginal birth rate （0.00%） in group A were significantly lower than group B （42.21%,O.64%）,the natural births （66.40%） was significantly higher than that in group B （55.96%）,the differences were statistically significant （P〈O.O5）.There was no statistically sig- nificant difference in the incidence of medical abortion and major defect induced labor between the two groups of pregnant women （P〉0.05）.The incidence of macrosomia,premature and the birth defects in group A （3.34%,1.15% and 0.46%） were significantly lower than group B （8.38%,2.58% and 1.50%）,the differences were st
作者
黄金霞
杜红梅
张岚
HUANG Jin-xia, DU Hong-mei, ZHANG Lan(Yunfu People＇s Hospital in Guangdong Province,Yunfu 527300,Chin)
出处
《中国当代医药》
2018年第7期149-152,共4页
China Modern Medicine
关键词
孕前
优生健康教育
危险因素暴露
分娩方式
妊娠结局
Before pregnancy
Eugenic health education
Exposure of risk factors
Delivery mode
Pregnancy outcome
