产后随访对出院后产褥期母婴健康的影响

Effect of postpartum follow-up on maternal and infant health during puerperium after discharge

目的:探讨产后随访对出院后产褥期母婴健康的影响。方法:抽取上海彭浦新村社区2017—2018年出院的产妇240例,按照是否接受产后随访分为普通护理组120例和随访护理组120例,随访护理组产妇的平均年龄(28.6±3.8)岁;平均孕周(39.2±3)周;平均住院时间(4.2±1.2)d。普通护理组产妇的平均年龄(27.5±3.5)岁,平均孕周(38.5±3)周,平均住院时间(4.5±1.6)d。对随访护理组产妇在出院后3~7 d、8~14 d进行产后随访,给予产妇相关知识的指导。对普通护理组产妇按照产后常规方法进行护理,包括产后护理、新生儿护理等。结果:随访护理组产妇的母乳喂养、正确哺乳、自我护理方法的掌握明显高于普通护理组,差异有统计学意义(P<0.05),随访护理组的新生儿并发症也明显低于普通护理组,差异有统计学意义(P<0.05)。结论:通过产后访视,对出院产妇实施护理和指导,有助于促进产妇的康复和母婴的健康。

Objective:To explore the effect of postpartum follow-up on maternal and infant health in postpartum period after discharge.Methods:From 2017 to 2018 240 discharged mothers in our community were selected and divided into a general nursing group with 120 cases and a follow-up nursing group with 120 cases according to whether they received postpartum follow-up,The average age of parturients in the follow-up nursing group was(28.6±3.8)years;the average gestational age was(39.2±3)weeks;the average hospital stay was(4.2±1.2)days.The average age of parturients in the general nursing group was(27.5±3.5)years,the average gestational age was(38.5±3)weeks,and the average hospital stay was(4.5±1.6)days.The followup nursing group was followed up after discharge of 3~7 days and 8~14 days,and the guidance of maternal related knowledge was given.The general nursing group was treated according to the postpartum routine methods,including postpartum care,neonatal care and others.Results:The masters of breastfeeding,correct breastfeeding and self-care in the follow-up nursing group were significantly higher than those in the general nursing group,and the difference was statistically significant(P<0.05),and neonatal complications in the follow-up care group were also significantly lower than those in the general care group,and the difference was statistically significant(P<0.05).Conclusion:Through postpartum follow-up,the implementation of nursing and guidance for discharged mothers help to promote the recovery of mothers and the health of mothers and infants.