论文部分内容阅读
目的:探讨孕妇学校健康教育在孕产期保健中的作用及成效。方法:回顾性分析余姚市兰江街道卫生院2010年1月-2012年12月建立围产保健档案的513例产妇,随机抽取其中参加过孕妇学校相关课程的100例为观察组,未参加过相关课程的100例为对照组(两组成员均为在该院接受系统产检的初产妇,学历及经济状况相当)。对无医学指征剖宫产率、母乳喂养率、产褥期及新生儿疾病发生率、巨大儿及低体重儿出生情况进行统计。结果:无医学指征剖宫产率观察组为25%,对照组为52%;母乳喂养率观察组为95%,对照组为69%;产褥期疾病发生率观察组为1%,对照组为6%;新生儿疾病发生率为2%,对照组为7%;巨大儿、低体重儿发生率观察组为2%,对照组为7%;两组样本比较差异有统计学意义(均P<0.05)。结论:通过孕妇学校以“母婴保健基本知识与技能”为核心的健康教育,实时有效地传递规范、系统、科学的保健知识,孕产妇在产前、产时及产后得到更人性化、具体化的科学指导,明显降低了剖宫产率,提升了母乳喂养率及母婴健康水平;孕妇学校的开展为年轻夫妇学习妊娠、分娩和科学育儿基础知识搭建了一个交流、沟通的平台,在孕产期保健中具有重要作用。
Objective: To explore the effect and effect of health education in pregnant women in maternal health care. Methods: A retrospective analysis was made on 513 maternal women who set up perinatal health records in Yujiang Lanjiang Street Health Center from January 2010 to December 2012. 100 males who participated in the relevant courses of pregnant women were randomly selected as the observation group. 100 cases of related courses for the control group (two members were in the hospital system of primiparous birth examination, education and economic status). Cesarean section rate without medical indications, breastfeeding rate, the incidence of puerperium and neonatal diseases, macrosomia and low birth weight children statistics. Results: The rate of cesarean section without medical indication was 25% in the observation group and 52% in the control group. The rate of breast-feeding in the observation group was 95% in the observation group and 69% in the control group. The incidence of postpartum disease in the observation group was 1% 6%; the incidence of neonatal disease was 2%, the control group was 7%; macrosomia, low birth weight children observation group was 2%, the control group was 7%; two groups of samples was statistically significant difference (P <0.05). Conclusion: Through the health education centering on the basic knowledge and skills of maternal and infant health care in pregnant women schools, standardized, systematic and scientific health knowledge can be transmitted in real time and effectively. Maternal health is more humane during prenatal, postpartum and postnatal periods , Specific scientific guidance, significantly reducing the rate of cesarean section, raising the rate of breastfeeding and maternal and child health; pregnant women’s school for young couples to learn pregnancy, childbirth and basic knowledge of childbirth to build a platform for communication and communication , Plays an important role in maternal health care.