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目的:观察妊娠期健康指导对巨大儿出生率的影响。方法:选择2009年7月-2010年6月,在我院门诊行定期围生检查、临床资料完整的产妇2023例作为观察组;同时选择2005年1月-2008年5月,在我院住院分娩的产妇2848例作为对照组。观察组定期参加产妇学校学习和保健,由临床医师根据妊娠状况给予生活习惯、运动及饮食等的个体化指导,并定期进行随访;对照组妊娠期未给予任何指导。比较两组巨大儿出生率及分娩并发症发生率。结果:观察组巨大儿出生率为9.6%,对照组为11.7%;两组巨大儿出生率比较,差异显著(P<0.05)。观察组发生分娩并发症221例,占10.9%;对照组发生分娩并发症374例,占13.1%;两组分娩并发症发生率比较,差异显著(P<0.05)。结论:对妊娠期妇女进行健康指导能够有效降低巨大儿出生率,减少分娩并发症发生。
Objective: To observe the effect of gestational health guidance on the birth rate of macrosomia. Methods: From July 2009 to June 2010, 2023 maternal full-time clinical examinations were performed in outpatient department of our hospital as observation group. At the same time, we selected January 2005-May 2008 hospitalized in our hospital 2848 cases of childbirth as a control group. The observation group regularly participated in maternal school learning and health care, and clinicians gave individualized guidance on lifestyle, exercise and diet according to the pregnancy status, and were followed up on a regular basis. The control group did not give any guidance during pregnancy. The incidence of maternal morbidity and the incidence of complications in two groups were compared. Results: The birth rate of macrosomia was 9.6% in observation group and 11.7% in control group. The birth rate of macrosomia in two groups was significantly different (P <0.05). There were 221 cases of childbirth complications in the observation group, accounting for 10.9%. 374 cases of childbirth complications occurred in the control group, accounting for 13.1%. The incidence of complications in the two groups was significantly different (P <0.05). Conclusion: The health guidance for pregnant women can effectively reduce the birth rate of huge children and reduce the occurrence of complications of childbirth.