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目的:探讨孕期不同时期爱心志愿小组一对一电话指导对分娩结局的影响。方法:将孕周<12周、13～27+5周、>28周孕妇各350例,分别为观察1组、观察2组和观察3组;对照组350例常规孕检及健康教育。观察组在此基础上实施志愿小组成员一对一电话指导。结果:观察1组自然分娩率为90.57%(P<0.005)。孕期并发症4.58%(P<0.005),巨大儿发生率1.71%(P<0.005);观察2组自然分娩率为79.43%(P<0.005),孕期并发症13.43%(P<0.005),巨大儿发生率4.29%(P<0.005);观察3组自然分娩率为64.29%(P<0.05),孕期并发症18%(P<0.05),巨大儿发生率6.57%(P<0.05)。对照组自然分娩率为55.14%,孕期并发症32.29%,巨大儿发生率11.42%。结论:成立志愿小组实施孕期电话指导可明显提高自然分娩率,使孕期并发症显著减少,巨大儿明显减少。指导越早效果越好,孕早期指导可达到最理想效果。
Objective: To investigate the effect of one-on-one telephone guidance of caring voluntary group on delivery outcome at different stages of pregnancy. Methods: 350 pregnant women with gestational age <12 weeks, 13 ~ 27 + 5 weeks and> 28 weeks were divided into observation group 1, observation group 2 and observation group 3 respectively. The control group received routine pregnancy test and health education. On the basis of this, the observation team implemented one-on-one telephone guidance by volunteer team members. Results: The natural delivery rate in group 1 was 90.57% (P <0.005). The complications of pregnancy were 4.58% (P <0.005), the incidence of macrosomia was 1.71% (P <0.005). The rate of spontaneous delivery was 79.43% (P <0.005) and the complications of pregnancy were 13.43% (P <0.005) (P <0.05). The incidence of childbirth in the three groups was 64.29% (P <0.05), the incidence of complications in pregnancy was 18% (P <0.05), and the incidence of macrosomia in children was 4.29% (P <0.05). The control group, the natural delivery rate was 55.14%, 32.29% complications during pregnancy, the incidence of giant children 11.42%. Conclusion: The establishment of volunteer groups to implement telephone guidance during pregnancy can significantly improve the rate of natural childbirth, significantly reduce the complications during pregnancy, macrosomia significantly reduced. Guidance the earlier the better, early pregnancy guidance can achieve the best results.