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目的探讨基层孕期保健适宜技术,从而达到促进自然分娩,保障母婴健康。方法选择2013年3-10月在武汉市硚口区进行孕期保健的孕13周以上孕妇200名为研究对象,将她们随机分为实验组和对照组,实验组孕妇从孕13周开始进行饮食营养指导和体操训练等干预,对照组不采取饮食营养指导和体操训练,观察两组妊娠结局。结果实验组的孕期体重增长低于对照组,差异有显著统计学意义(P<0.01)。实验组妊娠并发症妊娠糖尿病、妊娠高血压患病人数明显低于对照组,差异有统计学意义(P<0.05)。实验组孕妇阴道分娩57例,对照组32例,差异有统计学意义(P<0.01)。结论定期产前检查,进行孕期合理营养指导和体操训练有助于控制孕期体重,降低妊娠并发症,促进自然分娩,值得在孕期保健中推广应用。
Objective To explore the appropriate technology of primary health care during pregnancy so as to promote natural childbirth and ensure the health of mothers and children. Methods A total of 200 pregnant women, who were pregnant for more than 13 weeks, were enrolled in this study from March to October in 2013. They were randomly divided into experimental group and control group. Pregnant women in the experimental group started diet from 13 weeks of pregnancy Nutritional guidance and gymnastics training and other interventions, the control group did not take dietary nutrition guidance and gymnastics training, observe the two groups of pregnancy outcomes. Results The weight gain during pregnancy in experimental group was lower than that in control group, the difference was statistically significant (P <0.01). The incidence of gestational diabetes mellitus and pregnancy-induced hypertension in the experimental group was significantly lower than that in the control group (P <0.05). 57 cases of experimental group pregnant vaginal delivery, 32 cases in the control group, the difference was statistically significant (P <0.01). Conclusion Regular prenatal examination, guidance of proper nutrition during pregnancy and gymnastic training can help to control weight during pregnancy, reduce pregnancy complications and promote natural childbirth. It is worth popularizing and applying in pregnancy health care.