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目的探讨助产士门诊对初产妇体重管理选择分娩方式的影响。方法 220例孕10~12周单胎初次在本院产检的孕妇,随机分成对照组和体重管理组,每组110例。对照组由产科门诊医护人员给予常规围产期保健检查和孕期指导;体重管理组在对照组的基础上转助产士门诊实施体重管理,考察两组产妇在分娩方式的选择、总产程耗时等指标。结果体重管理组自然分娩率为84.54%,明显高于对照组的56.36%,差异具有统计学意义(P<0.05);体重管理组剖宫产率为11.81%,明显低于对照组的38.18%(P<0.05);体重管理组总产程为(6.7±1.5)h,较对照组的(8.7±1.8)h显著缩短,差异具有统计学意义(P<0.05)。结论对初产孕妇实施体重管理可增強选择自然分娩的信心,减少巨大儿的发生率,缩短产程,提高产程质量,降低剖宫产率,临床可推广应用。
Objective To explore the effect of midwife outpatient on the choice of delivery mode for weight management of primipara. Methods A total of 220 pregnant women with 10-12 weeks of singleton fetus were randomly divided into control group and weight management group with 110 cases in each group. The control group was given routine perinatal care and pregnancy guidance by obstetrics and gynecology clinic staff. The weight management group transferred to the outpatient service for weight management on the basis of the control group, and examined the choice of mode of delivery, . Results The rate of spontaneous delivery in weight management group was 84.54%, which was significantly higher than that in control group (56.36%, P <0.05). The rate of cesarean section in weight management group was 11.81%, significantly lower than that in control group (38.18% (P <0.05). The total length of labor in weight management group was (6.7 ± 1.5) h, significantly shorter than that in control group (8.7 ± 1.8) h, the difference was statistically significant (P <0.05). Conclusion The weight management of primiparous pregnant women can enhance the confidence of choosing natural childbirth, reduce the incidence of macrosomia, shorten the birth process, improve the quality of labor and reduce the rate of cesarean section, which can be popularized clinically.