摘要
目的探讨中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响。方法选取2018年3月至2019年3月在锦州医科大学附属第一医院产科门诊建卡并定期产检的年龄超过35周岁高龄二胎产妇作为研究对象,采用随机数字表法分为试验组(50例)和对照组(50例)。试验组应用中心群组化孕期保健模式,对照组采用传统孕期保健模式。比较两组产妇顺产率、剖宫产率、侧切率、产钳助产率、产后2 h出血量、产程时间、SAS和SDS评分情况以及患者满意度。结果最终两组共100例产妇均完成该研究,试验组顺产率、患者满意度均高于对照组,差异具有统计学意义(P<0.05),试验组剖宫产率、侧切率及第一、二、三产程及总产程时间,产后2 h出血量及产妇产后SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05),两组新生儿Apgar评分差异无统计学意义(P>0.05)。结论中心群组化孕期保健模式在降低高龄二胎产妇剖宫产率、会阴侧切率、减少产程时间、产后2 h出血量、减轻高龄二胎产妇产后焦虑和抑郁程度等方面具有一定的效果,能够提高高龄二胎产妇的顺产率及满意度。
Objective To evaluate the effect of center group pregnancy care mode on the outcome of delivery in elderly pregnant parturient for a second child. Methods A total of 100 pregnant(over 35 years old) women for a second child who established Obstetrical Outpatient Card and underwent regular checkup in our First Affiliated Hospital from March 2018 to March 2019 were recruited in this study. They were randomly divided into experimental group(n=50) and control group(n=50). For the experimental group, the participants accepted not only the prenatal clinic consultation but also subject course of center group pregnancy care mode, while the participants in the control group were given the traditional pregnancy care mode. Natural delivery rate, cesarean section rate, episiotomy rate, forceps delivery rate, postpartum hemorrhage rate in 2 h after delivery, labor time, Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) scores, and patient’s satisfaction were compared between the 2 groups. Results Eventually, a total of 100 pregnant women completed this clinical trial. The experimental group had significantly higher natural delivery rate and patient’s satisfaction, obviously lower cesarean section rate and episiotomy rate, shorter durations for the first, second and third stage of labor and for total labor, decreased postpartum hemorrhage rate, and reduced SAS and SDS scores when compared with the control group(P<0.05). No significant difference was seen in the Apgar score between the babies of the 2 groups(P>0.05). Conclusion The center group pregnancy care mode can reduce the cesarean section rate, episiotomy rate and postpartum hemorrhage rate, shorten time for stage of labor, attenuate the postpartum anxiety and depression, and improve natural childbirth rate and patient’s satisfaction.
作者
郭思彤
马艳梅
毛旭
GUO Sitong;MA Yanmei;MAO Xu(College of Nursing,Jinzhou Medical University,Jinzhou,Liaoning Province,121000,China;Department of Nursing,First Affiliated Hospital,Jinzhou Medical University,Jinzhou,Liaoning Province,121000,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2020年第1期99-103,共5页
Journal of Third Military Medical University
关键词
中心群组化孕期保健模式
高龄产妇
二胎
助产士
分娩结局
心理状态
center group pregnancy care mode
elderly pregnant women
second child
midwife
delivery outcomes
psychological state
