孕产期健康教育对分娩方式及妊娠结局影响.docVIP

孕产期健康教育对分娩方式及妊娠结局影响 　　[摘要] 目的 探讨孕产期健康教育对分娩方式及妊娠结局的影响。 方法 选择符合纳入标准的孕妇385例，随机分为观察组194例和对照组191例，其中观察组脱落退出24例，对照组脱落退出27例，最终观察组170例，对照组164例。观察组在孕产期进行分阶段健康教育，对照组采用常规健康教育。结果 观察组健康知识评价分数显著高于对照组，产检次数显著多于对照组，完成全部产检计划率（完整产检率）显著高于对照组（P0.05）。观察组阴道分娩率显著高于对照组，观察组剖宫产产妇中出于个人意愿选择比例显著低于对照组（P0.05）。两组不良妊娠结局发生率差异有统计学意义（χ2=4.242，P0.05），其中观察组妊娠期糖尿病、早产发生率显著低于对照组，产后出血量、泌乳时间均显著少于对照组，护理满意度显著高于对照组（P0.05）。结论 孕产期健康教育有助于提高孕妇健康知识水平和产检次数，减少剖宫产率，减少不良妊娠结局的发生。 　　[关键词] 分娩方式；妊娠结局；健康教育；产前检查 　　[中图分类号] R473.2 [文献标识码] B [文章编号] 1673-9701（2014）27-0083-03 　　[Abstract] Objective To investigate the impact of maternal health education on the mode of delivery and pregnancy outcome. Methods All 385 pregnant women had been chosen， were randomly divided into observation group of 194 cases and control group of 191 cases， of which 24 cases exit off observation group， 27 cases exit off the control group， included the observation group of 170 cases and the control group of 164 cases， the observation group used stages of maternal health education， control group used conventional health education. Results The evaluation of health knowledge scores in observation group were significantly higher， the number of prenatal significantly more than the control group， complete check-rate rate were significantly higher （P0.05）.The vaginal delivery rate in observation group were significantly higher than control group， cesarean section own volition choose the ratio in observation group were significantly lower than the control group （P0.05）. The incidence of adverse pregnancy outcomes between groups were significantly different（χ2=4.242，P0.05）， in which the observation group gestational diabetes， preterm birth were significantly higher incidence of postpartum hemorrhage， lactation period were significantly less than the control group， nursing satisfaction were significantly higher （P0.05）. Conclusion Maternal health education helps to improve maternal health and prenatal knowledge of the number of times to reduce the cesarean sect