孕期体重管理对自然分娩的影响

目的通过对产妇孕期体重进行科学管理，观察对自然分娩率及妊娠结局的的影响。方法选取2014年9月至2015年9月于我院阴道试产的初产妇240例，按随机对照表法分为对照组与观察组，每组120例。对照组采用常规产检流程及指导，观察组在常规待产护理流程的基础上，根据对孕妇个人体重状况，对孕妇施行个性化体重管理。对比两组产妇自然分娩率．孕期体重指数增长情况，自然分娩的产程及妊娠结局。结果观察组产妇的自然分娩率显著高于对照组产妇（P〈0．05），孕期体重指数增长显著低于对照组（P〈0．05），自然分娩产妇的产程较对照组显著缩短（P〈0．05）．同时妊娠期糖尿病、产后出血及巨大儿发生情况均低于对照组产妇（P〈0．05）。结论对产妇实行孕期科学体霞管理能有效提高产妇的自然分娩率，缩短产程并有效控制孕期体重指数增长，降低母婴不良状况的发生，在临床孕期应用中值得推广。

Objective maternal pregnancy weight of scientific management, observe the effects on the natural birth rate and preg- nancy outcome of. Methods from September 2014 to September 2015 in our hospital vaginal trial production primipara 240 cases were randomly assigned into control group and observation group and 120 patients in each group. Control group with conventional production processes and inspection guidance, observation group received routine care process to be produced on the individual based on the weight status of pregnant women, pregnant women, the implementation of personalized weight management. Compared two groups of mothers natural birth rate, pregnancy body mass index growth, natural childbirth labor and pregnancy outcome. Results It was natural birth rate of women in observation group was significantly higher than women （P〈0. 05）, pregnancy BMI increased significantly lower than the control group （P〈0.05）, natural childbirth maternal birth process than the control group significantly reduced （P〈0.05） while gestational diabetes, postpartum hemorrhage and the incidence of great children were lower than the control group mothers （P〈 0.05）. Conclusion scientific weight management during pregnancy can improve maternal maternal natural birth rate, shorten the pro- duction process and the effective control of pregnancy body mass index growth, reduce the incidence of maternal adverse conditions, the pregnancy should be promoted in clinical applications.