摘要
目的探讨以助产士主导的家庭群组式孕期保健服务模式应用于初产妇的临床效果。方法回顾性分析2019年1~12月松山湖中心医院收治的120例初产妇的临床资料,按照孕期保健模式分成观察组(60例)和对照组(60例)。对照组孕妇参加常规孕期检查、孕妇学校教育、孕妇学校微信群;观察组孕妇接受以助产士主导的家庭群组式孕期保健服务。比较两组孕妇体重控制情况、新生儿体重、剖宫产率等。结果观察组孕妇孕28周时体重、分娩前体重、孕晚期每周增重均低于对照组,差异有统计学意义(P<0.05);观察组新生儿体重低于对照组,差异有统计学意义(P<0.05);观察组孕妇剖宫产率低于对照组,差异有统计学意义(P<0.05)。结论以助产士主导的家庭群组式孕期保健服务模式应用于孕妇的效果显著,可对孕妇孕期体重、新生儿体重进行有效管理,改善母婴结局,值得关注并推广。
Objective To explore the clinical effect of the family group-based pregnancy care service model dominated by midwives applied to pregnant women.Methods Retrospective analysis of the data on the 120 primiparas who were admitted to Dongguan Songshan Lake Central Hospital from January 2019 to December 2019 was made and divided into the observation group(60 cases)and the control group(60 cases)according to the pregnancy health care model.The control group participated in regular pregnancy checkups,school education for pregnant women,and WeChat groups for pregnant women schools.The observation group received family group-based pregnancy health care services led by midwives.The weight control,neonatal weight and cesarean section rate were compared between the two groups.Results The weight at 28 weeks of pregnancy,weight before delivery and the weekly gain during the third trimester of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The weight of the newborn in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The rate of cesarean section in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The family group-based pregnancy health care service model dominated by midwives has a significant effect when applied to pregnant women.It can effectively manage the weight of pregnant women and newborns and improve the outcome of maternal and child.It is worthy of attention and promotion.
作者
谢柳茹
朱凤娟
丁丽娟
黎秋妹
曾小恒
XIE Liu-ru;ZHU Feng-juan;DING Li-juan;LI Qiu-mei;ZENG Xiao-heng(Department of Obstetrical,Dongguan Songshan Lake Central Hospital,Guangdong Province,Dongguan 523000,China)
出处
《中国当代医药》
CAS
2021年第5期121-123,共3页
China Modern Medicine
基金
广东省东莞市社会科技发展(一般)项目(201950715024929)。
关键词
助产士
家庭群组式
孕期保健服务模式
初产妇
健康教育
体重
Midwives
Family group
Pregnancy health care service model
Primipara
Health education
Weight
