孕期营养干预及分娩期自由体位对降低剖宫产的效果分析

发布时间：2018-01-03 02:21

本文关键词：孕期营养干预及分娩期自由体位对降低剖宫产的效果分析　出处：《中国计划生育学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的:探讨孕期营养干预结合分娩期体位干预对剖宫产率的影响。方法:选择2015年7月~2016年7月在本院健卡的孕妇390例作为观察组,孕期给予营养干预和随访,产时选择自由体位分娩;另选同期在本院分娩、孕期未经过营养干预的孕妇390例作为对照组,在知情同意的情况下选择传统体位分娩。比较两组巨大儿、母体合并症及剖宫产率发生的情况。结果:母体合并症发生率观察组(产前10.7%、产后3.1%)低于对照组(产前20.7%、产后5.1%);胎儿合并症观察组(巨大儿6.4%、FGR3.3%)低于对照组(巨大儿12.8%、FGR 7.7%);剖宫产率观察组(24.1%)低于对照组(53.1%),差异均有统计学意义(P0.05)。结论:妊娠期个体化营养干预联合分娩期自由体位分娩可改善母婴结局,降低剖宫产率。
[Abstract]:Objective: To investigate the prenatal nutrition intervention combined with intrapartum impact of postural intervention on cesarean section. Methods: the July 2015 ~2016 year in July in our hospital health card 390 cases of pregnant women as the observation group, the pregnancy nutritional intervention and follow-up, intrapartum choose free posture delivery; over the same period in our hospital childbirth, pregnancy without nutritional intervention 390 cases of pregnant women as control group, choose the traditional posture delivery in the case of informed consent. Compared two groups of macrosomia, occurrence of maternal complications and cesarean section rate. Results: the incidence rate of the observation group maternal complications (10.7% prenatal, postpartum 3.1%) than in the control group (20.7% prenatal, postpartum 5.1%); fetus complications in the observation group (macrosomia 6.4%, FGR3.3%) than in the control group (macrosomia 12.8%, FGR 7.7%); cesarean section rate in the observation group (24.1%) than in the control group (53.1%), the differences were statistically significant (P0.05). Conclusion: individualized nutrition dry pregnancy The pre delivery free postbirth delivery can improve the maternal and infant outcome and reduce the rate of caesarean section.

【作者单位】：湖北省武汉市红十字会医院;湖北省人民医院;
【分类号】：R715.3
【正文快照】： 近几年随着剖宫产率逐年上升,剖宫产后母婴并发症也日益凸现,瘢痕妊娠、子宫切口憩室、剖宫产儿综合征等已成为医学突出问题。为了降低高剖宫产率的现状,经过深入分析剖宫产的各种因素发现,巨大儿或相对性头盆不称成为剖宫产指证变迁的主要原因[1];另外分娩期体位的选择也严重

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