助产咨询门诊对孕妇分娩结局影响的研究

The effects of midwife consulting clinic on the maternal and neonatal outcomes

目的探讨助产咨询门诊对孕妇分娩结局的影响。方法选择2011年11月-2012年10月在该院已建卡按期产检并愿意在我院住院分娩的低危孕妇为100例为实验组;回顾性选择2010年9月-2011年10月在该院已建卡按期产检并在该院住院分娩的低危孕妇为100例为对照组,两组均为初产妇。实验组除接受常规产检和孕妇学校公益课外,还愿意接受助产士门诊个性化咨询,对照组只接受常规定期产检和孕妇学校公益课,比较两组的分娩结局及社会因素对剖宫产率的影响。结果实验组剖宫产率、社会因素至剖宫产率、新生儿体质量、顺产产后2 h出血量均低于对照组（P〈0.05）;两组的三个产程、新生儿Apgar评分等方面差异无显著性（P〉0.05）。结论助产咨询门诊可增强孕妇孕期保健意识,促进自然分娩,降低剖宫产率,改善产科助产质量。

[Objective] To explore the effects of midwife consulting clinic on the maternal and neonatal outcomes. [ Method] 100 pregnant women who volunteered to delivery in our hospital from November 2011 to October 2012 with low danger and registration and examination regularly were divided into experimental group; Another 100 pa- tients who delivered in our hospital from September 2010 to October 2011 with low danger and registration and ex- amination regularly were divided into control group retrospectively. Both groups were primipara. Primipara in experi- mental group received routine prenatal and maternal public school extracurricular and willing to accept midwifery personalized consultation outpatient as well. Two groups were compared on birth outcomes and the rate of cesarean section because of social factors. [Result] The rate of cesarean section, the rate of cesarean section because of so- cial factors, quantity of bleeding postpartum 2 hours, the birth weight of neonates in experimental group were lower than the control group （P 〈0.05）; It was no statistically significant in labors and neonatal Apgar Score on two groups （P 〉0.05）. [ Conclusion ] Midwifery counseling clinic can enhance healthy awareness of primipara, reduce the rate of cesarean section and improve the quality of obstetric midwifery.