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目的探讨社区妇产科医生在产前检查和产后恢复干预治疗中的作用。方法 90例社区妇产科孕妇作为对照组,选取另外同期90例孕妇作为观察组,对照组给予常规妇产科治疗,观察组在对照组基础上给予具有针对性的社区诊治干预,对比两组产前检查依从性及产后尿潴留、奶胀发生率、出院时和产后6周时母乳喂养率及产妇产后母乳喂养知识的了解情况。结果观察组产妇掌握知识(90.00%)、产前检查次数(87.78%)、定期产检(95.56%)完成全部检查项目(82.22%)产前检查依从性情况均显著优于对照组(68.89%、62.22%、58.89%、47.78%),差异具有统计学意义(P<0.05)。观察组产后母乳喂养率、母乳喂养知识的知晓情况、尿潴留发生率和奶胀发生率产后恢复情况显著优于对照组,差异有统计学意义(P<0.05)。结论社区妇产科医生给予具有针对性的社区诊治干预能显著提高孕产妇对产前检查的依从性,同时有效降低产后并发症的发生率,对提高产妇泌乳量,提高产妇改善孕后有重要意义。
Objective To investigate the role of community gynecologists in prenatal care and postpartum rehabilitation interventions. Methods Ninety pregnant women with obstetrics and gynecology in the community were selected as the control group. Ninety pregnant women of the same period were selected as the observation group and the control group were treated with conventional obstetrics and gynecology. The observation group was given the targeted community diagnosis and treatment intervention on the basis of the control group. Prenatal checkup compliance and postpartum urinary retention, incidence of bulging milk, knowledge of breastfeeding rates at 6 weeks after discharge and postnatal period, and knowledge of postpartum breastfeeding. Results The compliance rate of maternal examination knowledge (90.00%), prenatal examination (87.78%), regular maternity examination (95.56%), and prenatal examination (82.22%) were significantly superior to those of the control group (68.89% 62.22%, 58.89%, 47.78%), the difference was statistically significant (P <0.05). The observation group postpartum breastfeeding rate, awareness of breastfeeding knowledge, incidence of urinary retention and the incidence of milk inflation postpartum recovery was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Community-based obstetricians and gynecologists give targeted community diagnosis and treatment intervention can significantly improve maternal compliance with prenatal care, while reducing the incidence of postpartum complications, improve maternal milk yield and improve maternal improvement after pregnancy is important significance.