摘要
目的：探讨产科VIP门诊通过对孕中晚期初孕妇实施系统运动及饮食干预，促进自然分娩的效果。方法选取2011年1月-2012年3月在产科VIP门诊就诊的97例初孕妇作为干预组，同期在同一医院普通门诊进行常规产前检查的274例初孕妇作为对照组，两组孕妇均排除运动禁忌并自愿选择阴道分娩。对照组给予常规的产前检查和健康指导，干预组在此基础上接受系统的运动和营养饮食干预。对两组孕妇临产前胎先露高度、宫口扩张程度、孕妇体质量，产程所需时间，分娩方式和新生儿出生体质量等指标进行比较分析。结果干预组自然分娩率为70．1％，高于对照组的35．8％，差异有统计学意义（χ2＝32．788，P＜0．01），干预组胎先露高度为（-0．65＆#177;1．15）cm，明显低于对照组的（-1．12＆#177;1．10）cm，差异有统计学意义（t＝2．65，P＜0．05）。干预组总产程、第一产程所需时间分别为（369．10＆#177;166．82），（334．72＆#177;165．69）min，均短于对照组的（439．48＆#177;177．93），（403．06＆#177;174．67）min，差异有统计学意义（t分别为-2．57，-2．53；P ＜0．05）；干预组孕妇分娩前体质量和新生儿体质量分别为（74．70＆#177;4．80）kg，（3489．00＆#177;66．89）g，均小于对照组的（77．80＆#177;4．70）kg，（3680．00＆#177;54．62）g，差异有统计学意义（t分别为1．83，1．12；P＜0．05）。结论通过VIP门诊限号诊治患者数，每天接诊15例，孕妇得到系统的运动和营养饮食干预，可控制孕妇体质量增长过度，减少巨大儿发生率，降低剖宫产率，提高自然分娩率，有效缩短产程。
Objective To investigate the effect of promoting natural delivery by implementing the systemic exercise and diet intervention for obstetric VIP primiparas during the middle and late pregnancy period . Methods From January 2011 to March 2012 , 97 primiparas were chosen as the intervention group in obstetric VIP clinic;at the same time, 274 cases of pregnant women were chosen as the control group from the general antenatal clinic of the hospital .Neither of the two groups of pregnant women had movement contraindication , and they all voluntarily made the decision for vaginal delivery .Pregnant women in the control group only accepted the general out-patient routine prenatal check-up and health guidance;while the pregnant women in the intervention group received the VIP systemic exercise and diet guidance in addition to the outpatient routine prenatal check-up and health guidance .The fetal presentation height before delivery , the degree of cervical dilation, the time of birth process, the amount of postpartum bleeding and the mode of delivery were compared within the two groups.Results The natural birth rate in the intervention group was 70.1%significantly higher than that of 35.8%in control group （χ2 =32.788, P＆lt;0.01）.The descending level of fetal presentation in the intervention group was （ -0.65 ＆#177;1.15） cm, which was significantly lower than （ -1.12 ＆#177;1.10） cm in the control group （t=2.65, P＆lt;0.01）.The total labor time and the first stage of labor time were （369.10 ＆#177; 166.82）min and （334.72 ＆#177;165.69） min, respectively, which were significantly shorter than （439.48 ＆#177; 177.93）min and （403.06 ＆#177;174.67）min in the control group （t=-2.57, -2.53;P＆lt;0.05）.The weight of pregnant women before delivery and that of the neonates were （74.70 ＆#177;4.80） kg and （3 489.00 ＆#177;66.89） g, respectively, in the intervention group, and were （77.80 ＆#177;4.70）kg and （3 680.00 ＆#177;54.62）g, respectively, in the control group.The differences were significant （t=1.83, 1.12; P＆lt;0.05）.Conclusions The VIP＆amp;nbsp;clinic provides the pregnant women with systemic exercise intervention and nutritional diet guidance , which result in decreasing the cesarean section rate , increasing the natural delivery rate , effectively shortening the time of labor process and reducing the amount of intrapartum bleeding .
出处
《中华现代护理杂志》
2014年第4期428-430,共3页
Chinese Journal of Modern Nursing
关键词
自然分娩
孕妇
运动疗法
饮食干预
剖宫产术
Natural delivery
Pregnant woman
Exercise
Diet intervention
Cesarean section
