助产士门诊护理对孕妇分娩方式、体质量控制的影响

The Influence of Outpatient Care of Midwife on Delivery Mode and Body Quality Control of Pregnant Women

目的:探讨助产士门诊护理对孕妇分娩方式、体质量控制的影响。方法:选取2017年1月-2019年1月在本院定期产检并分娩的孕妇60例为研究对象,应用随机数字表法将其分为对照组和研究组,每组30例。对照组进行常规护理,研究组在对照组基础上采用助产士门诊护理。比较两组孕妇分娩方式、产后2 h出血量、HAMD评分、新生儿Apgar评分、孕前体质量(BMI)、分娩前平均体重、分娩前增加BMI、巨大儿出生率、婴儿出生体重。比较两组自然分娩孕妇第一、二、三产程与总产程时间。结果:研究组自然分娩率为86.7%,剖宫产率为13.3%;对照组自然分娩率为40.0%,剖宫产率为60.0%,两组分娩方式比较,差异有统计学意义(P<0.05)。研究组自然分娩孕妇第一、二、三产程与总产程时间均短于对照组,差异均有统计学意义(P<0.05)。研究组产后2 h出血量少于对照组、HAMD评分低于对照组,差异均有统计学意义(P<0.05)。研究组新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05)。两组孕妇孕前BMI比较,差异无统计学意义(P>0.05);研究组分娩前平均体重、分娩前增加BMI、巨大儿出生率、婴儿出生体重均低于对照组,差异均有统计学意义(P<0.05)。结论:对孕妇进行助产士门诊护理有利于提高产妇自然分娩率,体质量控制效果明显,值得应用。

Objective:To explore the influence of midwife outpatient care on the delivery mode and body quality control of pregnant women.Method:A total of 60 pregnant women who had regular labor check-up and delivered in our hospital from January 2017 to January 2019 were selected as the research objects.Using the number table method,they were randomly divided into the control group and the study group,30 cases in each group.The control group received routine care,the study group received outpatient midwife care based on the control group.Methods of delivery,2 h postpartum blood loss,HAMD score,neonatal Apgar score,pre-pregnancy mass (BMI),average weight before delivery,increased BMI before delivery,macrosomia birth rate,and baby birth weight were compared between the two groups.The first,second,third and total labor time of natural delivery were compared between the two groups.Result:The rate of natural delivery in the study group was 86.7%,and the rate of cesarean section was 13.3%,the rate of natural childbirth in the control group was 40.0%,and the rate of cesarean section was 60.0%,the delivery methods of the two groups were compared,the difference was statistically significant (P<0.05).The first,second and third stages of labor and the total duration of labor in the study group were shorter than those in the control group,the differences were statistically significant (P<0.05).The amount of postpartum blood loss in the study group was less than that in the control group,and HAMD score was lower than that in the control group,the differences were statistically significant (P<0.05).Apgar score of neonates in the study group was higher than that in the control group,the difference was statistically significant (P<0.05).There was no significant difference in pre-pregnancy BMI between the two groups (P>0.05).The average weight before delivery,increased BMI before delivery,macrosomia birth rate and baby birth weight of the study group were all lower than those of the control group,the differences were statistically significant (P<0.05).Conclusion:The midwife outpatient care for pregnant pregnant women is beneficial to improve the rate of natural delivery and the effect of physical quality control is obvious.