助产士产前门诊对孕产妇分娩结局的影响

Effect of Midwifery Antenatal Clinic on the Delivery Outcomes of Maternal Women

目的探讨分析助产士产前门诊对孕产妇分娩结局的影响。方法随机抽取2017年1—6月该院收治的120例孕产妇,将其分为对照组(n=60)与观察组(n=60),对照组予以常规的产前检查,观察组在常规基础上予以助产士门诊服务,观察两组产妇的妊娠期糖尿病、高血压发生情况、产后大出血、巨大儿及新生儿窒息发生情况,同时观察两组产妇的分娩方式选择与自然分娩情况。结果观察组孕妇的妊娠期糖尿病23.33%、高血压发生情况8.33%、产后大出血1.67%、巨大儿5.00%及新生儿窒息发生情况发生率6.67%明显低于对照组,差异有统计学意义(χ2=16.594、5.065、4.821、4.227、4.615,P<0.05);同时观察组产妇的自然分娩率88.33%明显高于对照组,差异有统计学意义(χ2=19.206,P<0.05),并且未出现任何不良反应。结论助产士产前的门诊服务可有效降低妊娠并发症的发生率,并且能够有效的提升孕妇的自然分娩率,改善婴儿体质。

Objective To study and analyze the effect of midwifery antenatal clinic on the delivery outcomes of maternal women. Methods 120 cases of maternal women admitted and treated from January to June 2017 were randomly extracted,and randomly divided into two groups with 60 cases in each, the control group used the routine antenatal examination, while the observation group used the midwifery outpatient service on the basis of the routine services, and the gestational diabetes,occurrence of hypertension, postpartum hemorrhage, giant baby and occurrence of asphyxia neonatorum of the two groups were observed, at the same time, the selection of delivery way and natural labor of the two groups were observed. Results The incidence rate of gestational diabetes, occurrence of hypertension, incidence rates of postpartum hemorrhage, giant baby and asphyxia neonatorum in the observation group were respectively 23.33%, 8.33%, 1.67%, 5.00% and 6.67%, which were obviously lower than those in the control group, and the differences were statistically significant（χ2=16.594, 5.065, 4.821,4.227, 4.615, P〈0.05）, and the natural labor rate in the observation group was 88.33%, which was obviously higher than that in the control group, and the difference was statistically significant（χ2=19.206, P〈0.05）, without any adverse reactions.Conclusion The midwifery antenatal clinic services can effectively reduce the incidence rate of gestational complications,effectively improve the natural labor rate of delivery women and improve the constitution of infants.