孕期健康教育对妊娠结局的影响

摘要

目的 观察孕期健康教育妊娠结局的影响,为临床孕期健康教育的实施提供一定的理论依据.方法 选择在罗湖妇幼保健院进行产前检查的孕妇300例,根据随机数字表法将其分为干预组100例和对照组200例.对照组采用常规孕期健康宣传,干预组采用系统保健教育培训进行干预.两组孕妇均在孕14～ 16周开始接受干预直到足月分娩.对比两组孕妇的分娩方式、产程时间、产后出血量、新生儿Apgar评分的情况.结果 干预组孕妇的顺产率为79.00％,显著高于对照组,而剖宫产率为15.00％,显著低于对照组(P＜0.05);干预组的第二产程为(0.59±0.24)h,总产程为(8.32±1.01)h,均显著短于对照组(P＜0.05);干预组孕妇产后出血的发生率为12.00％,显著低于对照组(P＜0.05);干预组新生儿Apgar评分为(9.13±0.96)分,显著高于对照组(P＜0.05).结论 孕期健康教育有助于降低剖宫产率,提高分娩的安全性,减少孕妇和胎儿的并发症,值得在临床上推广应用.%Objective To provide theoretical references for the implementation of clinical health education during pregnancy observing the influence of health education during pregnancy pregnant outcome.Methods 300 pregnant women were selected and then randomly divided into an intervention group (100 cases) and a control group (200 cases).The control group were intervened with routine pregnancy health propaganda,and the intervention group with systematical health education training.All pregnant women were intervened from the 14th to 16th week of pregnancy until term delivery.The modes of delivery,labor times,postpartum bleeding volumes,and neonatal Apgar scores were compared between the 2 groups.Results The eutocia rate of the intervention group was 79％,which was significantly higher than that of the control group(P ＜ 0.05); the cesarean section rate of the intervention group was 15％,which was significantly lower than that of the control group (P ＜ 0.05); the second stage of labor was (0.59 ± 0.24) h and the total production course was (8.32 ± 1.01) h in the intervention group,which were significantly shorter than those in the control group (P ＜ 0.05); the postpartum hemorrhage rate of the intervention group was 12％,which was significantly lower than that of the control group (P ＜ 0.05); the neonatal Apgar score of the intervention group was (9.13 ± 0.9),which was significantly higher than that of the control group (P ＜ 0.05).Conclusions Health education during pregnancy helps reduce the rate of cesarean section,improve the security of delivery,and reduce maternal and fetal complications and is worth being clinically generalized.