规律产检及妊娠晚期胎心监护对赤道几内亚孕妇妊娠结局的影响

Effects of Regular Prenatal Examinations and Fetal Heart Monitoring During the Third Trimester of Pregnancy on Maternal Pregnancy Outcomes in Equatorial Guinea

目的:探讨规律产检及妊娠晚期胎心监护对赤道几内亚孕妇妊娠结局的影响。方法:选取该文作者援助赤道几内亚期间诊治的1180例孕妇作为研究对象,将2020年1—12月诊治的420例孕妇作为研究组,2018年12月—2019年12月诊治的760例孕妇作为对照组。对照组凭孕妇个人意愿进行产检,并在孕34周进行胎心监护;研究组给予规律产检和妊娠晚期胎心监护。比较两组孕妇产科结局以及两组新生儿体格发育指标、低出生体重儿发生率。结果:研究组剖宫产率、死产率、新生儿窒息率均低于对照组,差异有统计学意义(P<0.05)。两组死胎率比较,差异无统计学意义(P>0.05)。两组新生儿身高、体重、体重指数、低出生体重儿发生率比较,差异无统计学意义(P>0.05)。结论:规律产检及妊娠晚期胎心监护对赤道几内亚孕妇的应用效果较为显著,能够降低剖宫产率、死产率、新生儿窒息率。

Objective:To investigate the effects of regular prenatal examination and fetal heart monitoring during the third trimester of pregnancy on pregnancy outcomes of pregnant women in Equatorial Guinea.Methods:A total of 1180 pregnant women treated by the authors during medical assistance in Equatorial Guinea were selected as the study subjects,including 420 pregnant women treated from January 2020 to December 2020 as the study group and 760 pregnant women treated from December 2018 to December 2019 as the control group.The control group underwent prenatal examination according to the individual willing of the pregnant woman,and fetal heart monitoring was carried out at 34 weeks of pregnancy.The study group underwent regular prenatal examinations and fetal heart monitoring in the third trimester of pregnancy.The obstetric outcomes of pregnant women,the physical development indexes of newborns and the incidence of low birth weight infants were compared between the two groups.Results:The rates of cesarean section,stillbirth and neonatal asphyxia in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in stillbirth rates between the two groups(P>0.05).There were no significant differences in the neonatal height,body weight,body mass index and low birth weight infant incidence between the two groups(P>0.05).Conclusion:Regular prenatal examination and fetal heart monitoring during the third trimester of pregnancy have a significant application effect on pregnant women in Equatorial Guinea,it can reduce the rates of cesarean section,stillbirth and neonatal asphyxia.