目的 探讨DOHaD营养监测软件联合"317护"宣教助手在以助产士为主导模式下孕期体质量管理的效果.方法 选择2017年1—4月进行产前检查及住院分娩并符合要求的初产妇,按意愿分成观察组138例和对照组137例.观察组由助产士应用DOHaD营养监测软件联合"317护"宣教助手进行孕期体质量管理,对照组按照传统的管理模式由医生负责对孕期体质量增长情况进行监测.结果 观察组孕妇孕期体质量增长超过标准的低于对照组(P<0.01);观察组剖宫产率及产后出血率均低于对照组(P<0.05);观察组新生儿平均体质量低于对照组(P<0.001);巨大儿及低体质量儿发生率低于对照组(P<0.05).结论 助产士应用DOHaD营养监测软件联合"317护"宣教助手更有针对性、连续性,使孕妇在家也能科学自我管理,极大地增强了能力和兴趣,从而有效地进行孕期体质量管理.%Objective To explore the effect of midwife-led mode of DOHaD nutrition monitoring software Combined with "317 nursing health education assistant" on body mass management during pregnancy. Methods Primiparas with prenatal examination and hospital delivery from January 2017 to April 2017 were divided into observation group ( n=138) and control group (n=137) according to their wishes. The mode led by midwives using DOHaD nutrition monitoring software and "317 nursing health education assistant" was adopted in observation group, and traditional body mass management led by doctors was performed in control group. Results Less patients were overweighted during pregnancy in observation group ( P<0.01) and the rate of cesarean section and postpartum hemorrhage in observation group was lower than that in control group ( P<0.05). The average weight of newborns of observation group was lighter than that in control group (P<0.001) and the incidence rate of low birth weight and macrosomia was lower than that of control group (P<0.05). Conclusion The mode led by midwives using DOHaD nutrition monitoring software and"317 nursing health education assistant" is integrating professional nutrition analysis and health education software into the nursing and it arouses pregnant women's interest and helps them conduct effective body mass management at home.
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