围生期体质量管理对孕妇体质量增长及妊娠结局的影响

The prospective study of the effect of gestational body quality management on pregnancy outcomes

目的 探讨围生期体质量管理应用在孕妇中对体质量增长和妊娠结局的影响及效果.方法将孕妇180例采用随机数字表法分为观察组和对照组,对照组给予常规产科体检,观察采取围生期体质量管理护理模式,对比两组护理效果.结果观察组剖宫产率23.33％,发生妊娠期高血压疾病1例,妊娠期糖尿病2例,胎儿发育受限2例,产后出血1例;对照组剖宫产率53.33％,发生妊娠期高血压疾病7例,妊娠期糖尿病10例,胎儿发育受限9例,产后出血7例,组间差异均有统计学意义（χ^2=17.132、4.709、5.714、4.744、4.709,均P〈0.05）.观察组均未出现巨大儿、低体质量儿和新生儿窒息,发生胎儿宫内窘迫1例,上述发生率均低于对照组,组间差异均有统计学意义（χ^2=6.206、7.283、5.142、4.709,均P〈0.05）.结论围生期体质量管理可以降低剖宫产率和妊娠期并发症,优化新生儿情况,值得在临床上推广应用.

Objective To discuss the effect of body quality management in pregnant women on the growth of body mass and the outcome of pregnancy .Methods 180 pregnant women were randomly divided into observation group and control group .The control group was given routine obstetric medical examination , the observation group received pregnancy body quality management of nursing mode .The nursing effect was compared in two groups .Results In observation group,the cesarean section rate was 23.33%,1 case of gestational hypertension ,2 cases of gestational diabetes , 2 cases of fetal development and 1 case of postpartum hemorrhage .In control group , the cesarean delivery rate was 53.33%,7 cases of gestational hypertension ,10 cases of gestational diabetes ,9 cases of fetal growth restric-tion and 7 cases of postpartum hemorrhage ,the differences between the two groups were statistically significant （χ^2 =17.132,4.709,5.714,4.744,4.709,all P〈0.05）.The observation group did not appear macrosomia ,low quality and neonatal asphyxia , fetal intrauterine distress in 1 case, the incidence rates were lower than that of the control group,the differences between the two groups were statistically significant （χ^2 =6.206,7.283,5.142,4.709,all P〈0.05）.Conclusion During pregnancy,the application of quality management in pregnant women can reduce the rate of caesarean section and the complications of pregnancy ,and optimize the condition of the newborn .