助产士门诊开展孕妇体质量管理的实践与效果

The practice and effects of weight gain management in midwives outpatient for pregancy women

目的探讨助产士门诊实施孕期体质量管理的效果。方法评估孕妇孕12周前、孕28周、孕36周体质量和膳食摄入情况,对孕妇实施针对性饮食指导及体质量管理。结果孕妇孕期体质量增长、巨大儿和低体质量儿发生率均较对照组降低(P<0.01)。结论助产士门诊对孕妇实施孕期体质量管理,可有效降低巨大儿与低体质量儿发生率,值得临床推广应用。

Ojective To investigate the midwives outpatient in the weight gain management for pregnancy women. Methods To evaluate the nutrient abscrbed condition and body weight of effects of the pregnancy period, with 12 weeks ago,8 weeks, and 36 weeks, the pregnant woman were educated from daily life guidance and body weight managment. Results The average weight gain during the pregnancy period,the incidence of macresomia and the rate of low birth weight in the experimental group were significantly lower than those of the control group（P 〈 0.01 ）. Conclusion The midwife obstetric care group outpatient service is benefical for weight management in pregancy women,and can reduce the incidence of macrosomia and low birth weight. It is worth to promote the midwife obstetric outpatient service in clinic.