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目的探讨剖宫产再孕妇女孕期营养、运动、心理个体化管理对降低剖宫产率的影响。方法回顾性分析2014年1月-2015年12月在中山市东升医院产检、有阴道分娩意愿的剖宫产再孕妇女120例,随机分为两组:观察组60例,除常规产检外,接受孕期营养、运动、心理个体化管理干预;对照组60例,仅常规产检及孕妇学校学习。观察比较两组孕期体重变化情况和妊娠结局。结果观察组剖宫产率18.3%明显低于对照组(51.7%),差异具有统计学意义(P<0.05);对照组体重增加幅度大于观察组,差异具有统计学意义(P<0.05);观察组胎儿出生平均体重轻于对照组(P<0.05)。观察组干预措施与分娩方式、孕期增加体重、胎儿出生体重的偏相关系数分别为0.15、0.14、0.48。结论孕期营养、运动及心理个体化管理干预,对剖宫产再孕产妇在孕期控制体重、控制胎儿出生体重、降低剖宫产率有显著作用。
Objective To investigate the effect of individualized nutrition, exercise and psychology during cesarean section pregnancy on the reduction of cesarean section rate. Methods A retrospective analysis of 120 pregnant women with cesarean section in Dongsheng Hospital of Zhongshan City from January 2014 to December 2015 was randomly divided into two groups: observation group (60 cases) To accept nutrition, exercise, psychological individualized management intervention during pregnancy; control group of 60 patients, only routine examination and pregnant women school learning. The changes of pregnancy weight and pregnancy outcome were compared between the two groups. Results The rate of cesarean section in the observation group was significantly lower than that in the control group (18.3% vs 51.7%, P <0.05). The weight gain in the control group was greater than that in the observation group (P <0.05). The birth weight of observation group was lighter than that of control group (P <0.05). The partial correlation coefficients between the observation group interventions and mode of delivery, weight gain during pregnancy, and fetal birth weight were 0.15,0.14,0.48. Conclusion Interventions of nutrition, exercise and psychological individual management during pregnancy have a significant effect on weight control, birth weight control and cesarean section rate during cesarean section.