孕期体质量管理对孕妇产程时间和分娩结局的影响

Effect of the body weight management on pregnant woman labor and delivery outcome

目的:探讨孕期体质量管理对孕妇产程和分娩结局的影响。方法:选取产妇100例作为研究对象,按照管理方法分为体质量管理组和对照组,各50例。对照组给予传统管理方法,体质量管理组给予孕期体质量管理。比较2组产妇分娩方式、会阴损伤情况、产程和妊娠不良事件发生率。结果:体质量管理组产妇的剖宫产率低于对照组,自然分娩率高于对照组(P<0.05)。2组经阴道分娩产妇共75例,体质量管理组的会阴道损伤程度明显低于对照组(P<0.01)。体质量管理组产妇的第一产程、第二产程、第三产程和总产程均短于对照组(P<0.05~P<0.01)。体质量管理组妊娠不良事件发生率明显低于对照组(P<0.01)。结论:孕期体质量管理能促使产程缩短、提高自然分娩率、降低妊娠不良事件发生率。

Objective:To explore the effects of body weight management on pregnant woman labor and delivery outcome.Methods:One hundred puerperas were divided into the body weight management group and control group according to the management method(50 cases in each group).The control group was dealed with traditional management method,and the body weight management group were dealed with weight management during pregnancy.The delivery methods,perineal injury,duration of labor and adverse events were compared bewteen two groups.Results:The cesarean delivery rate and natural delivery rate in body weight management group were lower and higher than that in control group,respectively(P<0.05).There were 75 cases of vaginal delivery in two groups,and the degree of vaginal damage in body weight management group was significantly lower than that in control group(P<0.01).The first,second,third and total duration of labor in body weight management group were significantly shorter than those in control group(P<0.05 to P<0.01).And the incidence rate of adverse pregnancy events in body weight management group was significantly lower than that in control group(P<0.01).Conclusions:Body weight management during pregnancy can shorten the duration of labor,increase the rate of natural delivery,and reduce the incidence rate of adverse pregnancy events.