论文部分内容阅读
目的探讨孕期对孕妇进行健康教育,个体化营养指导,产时实施自控硬膜外镇痛分娩同时导乐陪产多方面联合干预措施,对降低孕产妇剖宫产率的疗效观察。方法将2010年10月至2011年9月在中山市博爱医院门诊进行产前检查无高危因素的孕妇,自愿就诊营养门诊、参加孕妇学校、健康教育系列活动,并实施自控硬膜外镇痛分娩的孕妇2160例作为观察组,同时以同期仅进行常规围产期保健检查的孕妇1320例作为对照组。比较指标变化,检验干预结果。结果观察组:阴道产1933例,剖宫产227例(10.51%);对照组:阴道产1085例,剖宫产235例(17.80%)。采取联合干预措施后剖宫产率显著下降(P<0.05)。死产率、新生儿窒息率、阴道助产率差异无统计学意义(P>0.05)。结论通过联合干预措施合理降低剖宫产率效果显著。
Objective To investigate the pregnant women during pregnancy health education, individualized nutrition guidance, during delivery of the implementation of controlled epidural analgesia and delivery while doula escort multi-joint interventions, to reduce the effect of cesarean section rate of pregnant women. Methods From October 2010 to September 2011, pregnant women with no risk factors in prenatal examination were admitted to Bo’ai Hospital of Zhongshan City for voluntary outpatient nutrition clinics, participated in the activities of pregnant women’s schools and health education, and implemented self-controlled epidural analgesia and childbirth Of pregnant women 2160 cases as the observation group, while the same period only regular perinatal health examination of pregnant women 1320 cases as a control group. Compare the changes in indicators, test the results of the intervention. Results In the observation group, 1933 cases were vaginal and 227 cases were caesarean (10.51%). In the control group, 1085 cases were vaginal and 235 cases were caesarean (17.80%). Cesarean section rate decreased significantly after taking joint intervention (P <0.05). There was no significant difference in stillbirth rate, neonatal asphyxia rate and vaginal delivery rate (P> 0.05). Conclusions Reasonable reduction of cesarean section rate through joint intervention is significant.