393例产后延伸服务第42天节点评估内容和监测要点研究

Study on evaluation contents and monitoring essentials on the 42nd day of postpartum extending services in 393 cases

目的：探讨和建立产后第42天母婴保健评估内容和监测要点,提高产后延伸服务的质量。方法：选取2013年1-12月分娩产妇786名为研究对象,接受该院提供的产褥期母婴保健延伸服务的393名产妇为研究组,接受常规服务的393名为对照组。在产后42天填复查表时,分别对接受医院产后延伸服务情况、母婴健康状况进行问卷调查,由产妇按5分制评定。结果：两组产妇一般情况、年龄、文化程度、分娩方式、营养状态、接受产前教育情况等方面相似,基本情况两组比较,差异无统计学意义（P〉0.05）。产褥期妇女精神状况、母乳喂养、产后子宫复旧、产后饮食营养、新生儿黄疸及生长发育指标及预防接种等项目,研究组优于对照组,差异有统计学意义（P〈0.01）。结论：产后第42天母婴回院复诊是提高围产期保健质量,加快母婴康复,适宜技术应用的重要举措,具有评估和监测母婴保健法贯彻实施效应的作用,是产后延伸服务的重要节点和内容,应进一步完善和常态化。

Objective： To explore and construct maternal and infantile health evaluation contents and monitoring essentials on the42 nd day after delivery,improve quality of postpartum extending services. Methods： From January to December in 2013,the postpartum women who gave birth to their babies and received postpartum reexamination in the hospital were selected and divided into study group and control group; the women in study group received postpartum extending services,while the women in control group received conventional services.They finished the questionnaire survey about postpartum extending services,maternal and neonatal health status on the 42 nd day after delivery were assessed according the 5-scoring system. Results： There was no statistically significant difference in general condition,age,educational background,delivery mode,nutritional status,and prenatal education between the two groups（ P 〉0. 05）. Maternal spiritual status,breast feeding,uterine involution,nutrition,neonatal jaundice,growth and development index,and vaccination in study group were statistically significantly better than those in control group（ P〈0. 01）. Conclusion： Postpartum reexamination on the 42 nd day is a key measure to improve perinatal health care quality and promote maternal and infantile resuscitation and application of appropriate technology,it plays an important role in assessing and monitoring the efficacy of implementation of law on maternal and infant health care,which is a key point and content for postnatal extending services,so it should be improved and normalized.