互联网医疗对孕期保健利用和不良妊娠结局的影响  

Effect of online medical care on antenatal care utilization and adverse pregnancy outcome

作　　者：赵蔚[1] 唐萍[1] 顾翼洋 李平 吕梦莲 张卫华[1] 贾阳波 管宇宏 汤雪娟 冯钰[1] ZHAO Wei;TANG Ping;GU Yi-Yang(Department of Health Care,Jiaxing Municipal Maternal and Child Health Care Hospital,Jiaxing,Zhejiang 314000,China)

机构地区：[1]嘉兴市妇幼保健院保健部,浙江嘉兴314000

出　　处：《中国妇幼保健》2020年第23期4402-4405,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2016KYB283)。

摘　　要：目的探讨互联网医疗对孕产期保健利用及不良妊娠结局的影响,提高孕期保健的水平和效果。方法选取2017年1月1日-2017年9月30日自愿参加互联网医疗并在嘉兴市妇幼保健院参加全程孕期体检和分娩的1 011例居住在嘉兴地区半年以上的孕产妇为观察组,并随机从该院分娩的其他孕产妇中选取1 008例作为对照组。结果观察组初产妇的比例高于对照组,差异有统计学意义(P<0.05);而两组孕妇年龄、孕次、文化程度和BMI方面比较,差异均无统计学意义(均P>0.05)。观察组孕妇对孕期合理饮食营养、合理行为方式、合理身体护理方式、合理休闲娱乐方式及合理衣着穿戴方式的知晓程度高于对照组,差异均有统计学意义(均P<0.05)。观察组孕妇早产率和剖宫产率低于对照组,新生儿出生体质量优于对照组,差异均有统计学意义(均P<0.05)。两组孕妇产后出血发生率比较,差异无统计学意义(P>0.05)。结论在孕期保健中运用互联网医疗,可以有效降低妊娠并发症发生率和剖宫产率,提升健康教育效果,保障母婴安全。Objective To explore the effect of online medical care on antenatal care utilization and adverse pregnancy outcome,improve the level and effect of antenatal care. Methods From January 1st to September 30th in 2017,1 011 pregnant women participating in online medical care,receiving full-course prenatal examination and giving birth to their babies,and living in Jiaxing area for more than half a year,were selected as observation group,1 008 pregnant women were selected as control group. Results The proportion of primiparous women in observation group was statistically significantly higher than that in control group (P< 0. 05);there was no statistically significant difference in age,gravidity,educational level,and BMI between the two groups (P>0. 05). The awareness rates of rational diet and nutrition during pregnancy,rational behavioral pattern,rational body care pattern,rational leisure and entertainment pattern,rational clothing pattern in observation group were statistically significantly higher than those in control group (P < 0. 05). The rates of premature delivery and cesarean delivery in observation group were statistically significantly lower than those in control group,neonatal birth weight in observation group was statistically significantly higher than that in control group (P<0. 05). There was no statistically significant difference in the incidence rate of postpartum hemorrhage between the two groups (P>0. 05). Conclusion Online medical care can effectively reduce the incidence rate of pregnancy complications and the rate of cesarean delivery,improve the effect of health education,ensure maternal and infantile safety.

关 键 词：健康教育 互联网医疗 不良妊娠结局 

分 类 号：R714[医药卫生—妇产科学]