310例育龄妇女孕前保健社区常态化管理模式

Normalized community management model of pre-pregnant care: A study on 310 women of child-bearing age

目的:探讨创立社区卫生孕前保健常态化管理模式,提高孕产妇生活质量,降低母婴并发症。方法:利用属地卫生保健专业卫技人员结合社区居委公干、义工、慈善关爱团队等机构人员对社区育龄妇女建档、复档"一对一"入户调研孕前保健,孕产妇咨询、体检、服务和关爱、问卷调查,对有生育要求的310例育龄妇女进行社区定期围产保健监测和孕期营养指导咨询,追踪服务至产后,同期设立对照组310例,比较产后结局。本组育龄妇女孕前保健至产后,追踪2年,均在社区内完成。结果:2组产后24 h出血量、阴道分娩例数、剖宫产例数、新生儿出生体重、妊娠糖尿病例数、产褥期感染例数的差异有统计学意义(均P<0.05);两组孕妇女生活质量评定显示,生活质量整体评价、健康状况整体评价、生活领域评价、自我评价总分等方面研究组均优于对照组(P<0.05)。结论:创立社区卫生孕前保健常态化管理模式,可以提高围产期管理水平,降低母婴并发症。

Objective： To investigate the effects of establishing normalized management model of prepregnant care in community health care to improve maternal quality of life,and reduce maternal and fetal complications. Methods： Local health care professionals and staffs of neighborhood committees,volunteers and staffs of charities documented the data of community women of child-bearing age,and worked for ＂one-to-one＂family interview of pre-pregnant care,maternal consultation,physical examination,service and care. A total of310 women of child-bearing age with the requirement of fertility were monitored for community regular perinatal health care and provided guide and consultation of pregnancy nutrition,which were traced after birth. And a contemporary cohort of 310 cases was included as the control group to compare postpartum outcomes. The health care of women of child-bearing age in the research group was traced before the pregnancy till postpartum period for 2 years, and completed in community. Results： There were statistically significant differences on 24 h postpartum bleeding volume,cases of vaginal delivery,cases of cesarean delivery,newborn birth weight,cases of gestational diabetes,and cases of puerperal infections between the two groups（ P〈0. 05）. The quality of life assessment of the two groups showed that the scores of living quality overall evaluation,health condition overall evaluation,living evaluation,and self-evaluation in the research group were better than that in the control group（ P〈0. 05）. Conclusion： Establishing normalized management model of pre-pregnant care in community health care can improve perinatal management level,and reduce maternal and fetal complications.