孕期系统保健和妊娠结局关系研究

Study on Relationship of Antenatal Systemic Health Care and Pregnancy Outcome

目的通过调查孕产妇妊娠结局,分析孕期保健对妇女妊娠结局的影响。方法 2009年3月～2011年3月在我院妇产科分娩的2100例孕产妇,选取达到孕产妇系统管理条件的1067例孕产妇作为观察组,而未完全实施孕期保健的1033例孕产妇作为对照组。比较两组孕产妇的孕期产前检查、分娩方式、第三产程时间、出血量、宫缩乏力、产褥感染以及妊娠高血压、糖尿病等并发症的情况,并行统计学分析。结果观察组与对照组相比较,产前检查、分娩方式两组差异均有统计学意义(P<0.05);观察组的第三产程时间、出血量、并发症发生率明显低于对照组,两组差异均有统计学意义(P<0.05)。结论孕期系统保健是保证妊娠良好结局的重要因素之一,应该加强孕产妇的产前检查及相关教育工作,减少不良妊娠结局的发生率,提高孕产妇生活质量。

Objective To investigate the relationship of prenatal health care and pregnancy outcome. Methods All 2100 cases of maternal inpatients from March 2009 to March 2011 were selected in our hospital. Among them 1067 cases achieving the maternal antennal systemic health care were selected as observation group, but not fully implemented health care during pregnancy in 1033 cases of pregnant women as controls. Maternal antenatal visits, delivery mode, third labor time, amount of bleeding, uterine atony, puerperal infection, and pregnancy-induced hypertension, diabetes complications of two groups were compared, and the obtained data were statistically analyzed. Results The observation group compared with the control group, antenatal visits, delivery mode of two groups had significant difference （ P 〈 0.05 ） ; The third labor time, amount of bleeding and complication rate of observation group were significantly lower than those of the control group, and two groups had significant difference （P 〈 0.05 ）. Conclusion Antenatal systemic health care during pregnancy is one of the important factors to ensure good pregnancy outcomes. Maternal antenatal examination and related health education should be strengthened, to reduce the incidence rate of adverse pregnancy outcome, and to improve maternal quality of life.