固定医护小组家庭访视结合母婴安全行动计划健康宣教对首胎孕妇妊娠结局的影响

Effects of fixed medical team family visit combined with maternal and child safety action plan health education on pregnancy outcomes of the first-born pregnant women

目的:观察固定医护小组家庭访视结合母婴安全行动计划健康宣教对首胎孕妇妊娠结局的影响。方法:选取120例首胎孕妇作为研究对象,按随机数字表法分为观察组与对照组各60例。对照组孕妇接受常规妊娠期保健服务,观察组在此基础上接受固定医护小组家庭访视结合母婴安全行动计划健康宣教干预。比较两组孕妇分娩方式(阴道分娩、剖宫产)、会阴侧切率、妊娠期并发症及围生儿不良结局。结果:观察组剖宫产率、会阴侧切率、妊娠期并发症发生率均明显低于对照组(P<0.05);围生儿不良结局发生率差异无统计学意义(P>0.05)。结论:固定医护小组家庭访视结合母婴安全行动计划健康宣教有助于降低首胎孕妇剖宫产率、会阴侧切率及妊娠期并发症发生率,对于改善母婴结局有积极意义。

Objective: To observe effects of fixed medical team family visit combined with maternal and child safety action plan health education on pregnancy outcomes of the first-born pregnant women. Methods: 120 first-born pregnant women were selected as study subjects. According to the random number table method, they were divided into observation group ( n =60) and control group ( n =60). The control group received routine pregnancy care services, while the observation group used the fixed medical team family visit combined with maternal and child safety action plan health education based on that of the control group. The mode of delivery (vaginal delivery, cesarean section), lateral episiotomy rate, pregnancy complications during pregnancy and perinatal adverse outcomes were compared between the two groups. Results: The cesarean section rate, lateral episiotomy rate, and pregnancy complication incidences were significantly lower in the observation group than those in the control group ( P <0.05). There was no significant difference in the incidence of perinatal adverse outcomes between the two groups ( P >0.05). Conclusions: The fixed medical team family visit combined with maternal and child safety action plan health education for the first-born pregnant women will help to reduce the cesarean section rate, lateral episiotomy rate, and pregnancy complication incidences, which is of positive significance for improving the maternal and child outcomes.