摘要
摘要：目的探讨实施以助产士主导的门诊孕中晚期体质量管理对妊娠结局的影响。方法将186例孕20～24周、单胎初产孕妇随机分为对照组92例和干预组94例。对照组行常规产前检查与指导，干预组在此基础上实施助产士主导的专科门诊孕中晚期体质量管理，包括根据孕妇BMI制订体质量管理目标，给予孕期膳食营养、运动方式及BMI自我监测指导。结果干预组分娩前BMI，巨大儿、剖宫产、产程阻滞、新生儿窒息及产后大出血发生率显著低于对照组（P〈0．05，P〈0．01）。结论助产士主导的专科门诊对孕中晚期孕妇实施体质量管理，有利于改善妊娠结局。
Objective To explore the effect of a midwife-led prenatal weight control program mtne mla ana late pregnancy on the pregnancy outcomes. Methods A total of 186 singleton primipara（20-24 weeks pregnant）were randomized into a control group （n=92） and an intervention group （n=94）. The former received routine prenatal examinations and instructions, while the latter additionally received midwife-led weight control intervention, including setting BMI-based weight control goals,instructions about diet, activities and BMI self-monitoring. Results The prenatal BMI, incidence of neonatal macrosomia, the rates of Cesarean section, labor block, neonatal asphyxia and postpartum hemorrhage in the intervention group were significantly lower than those in the control group （P〈0.05, P〈0.01）. Conclusion The midwife-led prenatal weight control in the mid and late pregnancy were conducive to the pregnancy outcomes.
基金
武汉大学Hope护理学院自主科研项目(2013-07)
关键词
初产妇
妊娠
体质量管理
助产士
妊娠结局
健康教育
primipara pregnancy weight control
midwife pregnancy outcomes
health education
