基于风险筛查结果的针对性孕期生活干预对妊娠结局的影响  

Impact of Targeted Life Interventions during Pregnancy Based on Risk Screening Results on Pregnancy Outcomes

作　　者：贾翠娟 齐瑞玲 杜欣欣 JIA Cuijuan;QI Ruiling;DU Xinxin(Department of Maternal Health,Ju County Maternal and Child Health and Family Planning Service Center,Ju County,Shandong Province,276500 China)

机构地区：[1]山东省莒县妇幼保健计划生育服务中心孕产保健部,山东莒县276500

出　　处：《中外医疗》2024年第11期153-157,共5页China & Foreign Medical Treatment

摘　　要：目的探讨基于风险筛查结果的针对性孕期生活干预的临床价值,分析其对妊娠结局的影响。方法方便选取山东省莒县妇幼保健计划生育服务中心于2022年1—12月收治的94例初产妇为研究对象,均为正常单胎妊娠,采用随机数表法将其均分为两组,各47例。对照组予以常规孕期保健指导,观察组在此基础上实施基于风险筛查结果的针对性孕期生活干预,比较两组妊娠结局,孕妇体质指数(Body Mass Index,BMI),营养知识、态度、行为调查问卷评分。结果观察组会阴侧切率为12.77%,低于对照组的29.79%,差异有统计学意义(χ^(2)=4.065,P=0.044)。观察组新生儿不良结局总发生率为2.13%,低于对照组的14.89%,差异有统计学意义(χ^(2)=4.919,P=0.027)。孕28周及分娩前,观察组BMI低于对照组,孕晚期,观察组营养知识、态度、行为调查问卷评分高于对照组,差异有统计学意义(P均<0.05)。结论孕期指导中,以风险筛查结果为依据,提供针对性孕期生活干预,能够降低初产妇的会阴侧切风险与新生儿的不良结局风险,改善孕中期、孕晚期BMI,且有助于提升孕妇的营养管理能力。Objective To explore the clinical value of targeted life intervention during pregnancy based on risk screening results and analyze its influence on pregnancy outcome.Methods A total of 94 primiparas who were admitted to the Juxian County Maternal and Child Health and Family Planning Service Center of Shandong Province from January to December 2022 were conveniently selected as the research objects.All of them were normal singleton pregnancies.They were divided into two groups by random number table method,with 47 cases in each group.The control group was given routine pregnancy health care guidance,and the observation group was given targeted pregnancy life intervention based on risk screening results on this basis.The pregnancy outcomes,body mass index(BMI)of pregnant women,and nutrition knowledge,attitude and behavior questionnaire scores were compared between the two groups.Results The episiotomy rate of the observation group was 12.77%,which was lower than 29.79% of the control group,and the difference was statistically significant(χ^(2)=4.065,P=0.044).The total incidence of neonatal adverse outcomes in the observation group was 2.13%,which was lower than 14.89% in the control group,and the difference was statistically significant(χ^(2)=4.919,P=0.027).At 28 weeks of pregnancy and before delivery,the BMI of the observation group was lower than that of the control group,in the third trimester of pregnancy,the scores of nutrition knowledge,attitude and behavior questionnaire in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion During pregnancy guidance,based on the results of risk screening,targeted life interventions during pregnancy can reduce the risk of lateral episiotomy in primipara women and the risk of adverse outcomes in newborns,improve BMI in the second and third trimester,and help improve the nutritional management ability of pregnant women.

关 键 词：初产妇 孕期指导 风险筛查 生活干预 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]