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目的探讨针对孕产妇采用孕期保健护理干预服务的临床价值,并观察其对孕妇妊娠结局的影响。方法选取2016年1月~2017年1月间本院产科病房接收的400例孕产妇为研究对象,按随机数字表法分成参考组和观察组。参考组共200例,入院后为其提供常规产科护理服务;观察组共200例,接受与参考组相同的护理服务,同时加用孕期保健护理干预服务。详细记录两组孕产妇的分娩方式、妊娠期疾病发生情况、分娩健康知识知晓情况、心理情绪状态变化、产后出血发生情况及新生儿结局,并进行比较分析。结果观察组孕产妇的阴道分娩率、分娩健康知识知晓率与参考组相比明显更高,剖宫产率、妊娠期糖尿病及高血压病发生率明显更低,产后出血量率明显更低(P<0.05);观察组的早产、巨大儿、低体重儿及新生儿窒息率与参考组相比明显更低(P<0.05);观察组护理后的SAS、SDS评分与护理前、参考组相比更低(P<0.05)。结论针对孕产妇采用孕期保健护理干预服务有助于降低剖宫产率,改善其妊娠结局,值得借鉴。
Objective To explore the clinical value of using maternal health care intervention services during pregnancy and observe its effect on pregnant women’s pregnancy outcome. Methods A total of 400 pregnant women receiving maternity wards in our hospital from January 2016 to January 2017 were selected as study subjects and divided into reference group and observation group according to random number table. Reference group of 200 cases, after admission to provide them with regular obstetric care services; observation group a total of 200 cases, receiving the same care and reference group services, plus the use of health care during pregnancy intervention services. Detailed records of maternal delivery mode of two groups, the occurrence of disease during pregnancy, childbirth health awareness, psychological changes in mood, postpartum hemorrhage and neonatal outcomes, and comparative analysis. Results In the observation group, the vaginal delivery rate and health awareness of pregnant women were significantly higher than those of the reference group. The incidences of cesarean section, gestational diabetes and hypertension were significantly lower and the rate of postpartum hemorrhage was significantly lower (P < P <0.05). Compared with the reference group, the asphyxia rate of preterm birth, macrosomia, low birth weight infants and newborn infants in the observation group was significantly lower than that of the reference group (P <0.05). SAS and SDS scores of the observation group before nursing, Compared to lower (P <0.05). Conclusions The use of maternal health care intervention services during pregnancy will help reduce the rate of cesarean section and improve the outcome of pregnancy, so it is worth learning from.