助产护士产前门诊对初产妇焦虑抑郁情绪和分娩结局的影响

Effect of Nurse Midwife Antenatal Clinic on Maternal Anxiety and Depression and Delivery Outcome

目的探讨助产护士产前门诊对初产妇焦虑抑郁情绪和分娩结局的影响。方法选取2011年8月至2012年8月在我院产科定期产检的160例初产妇为研究对象,应用随机数字表法将初产妇分为A组和B组,A组初产妇在产科医师处接受常规产前门诊干预,而B组初产妇则同时定期接受助产护士产前门诊干预,比较初产妇焦虑抑郁情绪和分娩结局。结果 B组初产妇焦虑抑郁情绪检出率、焦虑抑郁情绪得分、剖宫产率、会阴Ⅰ～Ⅱ度裂伤、会阴Ⅲ度裂伤、会阴伤口感染、产后出血率、巨大胎儿、新生儿窒息和围生儿死亡发生率明显低于A组(P<0.05),而新生儿转NICU治疗率明显高于A组(P<0.05)。结论助产护士产前门诊能够有效减少孕妇的焦虑抑郁情绪,降低孕妇剖宫产率,提高自然分娩率,改善母婴预后,值得推广。

Objective To investigate the effect of nurse midwife antenatal clinic on maternal anxiety and depression and delivery outcome. Methods 160 cases ofprimipara in our hospital received regular antenatal examination from August 2011 to August 2012 were chosen as research objects, and they were divided into two groups （Group A and Group B） with random number table. Group A received routine antenatal clinic intervention from obstetric physicians; Group B also received regular nurse midwife antenatal clinic intervention. Early maternal anxiety and depression, and delivery outcomes of the two groups were compared. Results In Group B, the detection rate of early maternal anxiety and depression, anxiety and depression score, the rate of cesarean section, perineal laceration, Ⅰ-Ⅱ degree perineal laceration, perineum wound infection, the rate of postpartum hemorrhage, fetal macrosomia, neonatal asphyxia and perinatal mortality rate were significantly lower than those in the Group A （P 〈0.05）, but NICU cure rate was significantly higher than that of Group A （P 〈0.05）. Conclusions Nurse midwife antenatal clinic is worthy of promotion, for it can effectively reduce the anxiety and depression of pregnant women, reduce maternal cesarean section rate, improve the natural delivery rate, and improve maternal and infant prognosis.