围产期全程针对性营养指导对初产妇分娩的影响  

Influence of the targeted nutrition guidance for primiparas in the whole perinatal period on their delivery

作　　者：朱红燕[1] 朱桃燕 ZHU Hongyan;ZHU Taoyan(The 904th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China,Wuxi,Jiangsu Province,214000)

机构地区：[1]中国人民解放军联勤保障部队第904医院,无锡214000

出　　处：《中国计划生育学杂志》2024年第6期1360-1363,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨围产期全程针对性营养指导对初产妇分娩的影响。方法:纳入2020年4月-2023年6月本院收治初产妇103例,随机数字表法分为对照组(51例)和观察组(52例),两组均常规围产期产科护理,观察组同时实施围产期全程针对性营养指导干预,干预过程中对照组和观察组各脱落1例,观察各组总产程、产后2h出血量、自然分娩、产妇并发症、新生儿并发症、分娩时产妇疼痛程度(VAS评分)、产后3d产妇爱丁堡产后抑郁量表(EPDS)评分与康纳-戴维森弹性量表(CD-RISC)评分、孕妇营养情况及产妇干预满意率。结果:观察组产妇总产程(431.49±24.19 min)短于对照组(508.18±22.17 min),产后2h出血量(123±10 ml)少于对照组(204±11 ml),自然分娩率(80.4%)高于对照组(60.0%),产妇并发症率(0)、新生儿并发症率(3.9%)均低于对照组(8.0%、16.0%);分娩时观察组VAS评分(4.85±0.94分)低于对照组(6.23±0.56分),产后3d的EPDS评分(7.29±0.69分)与CD-RISC评分(81.27±4.27分)均优于对照组(9.13±0.77分、77.62±2.65分),孕妇营养不良发生率(0)低于对照组(8.0%),产妇干预满意率(94.1%)高于对照组(78.0%)(均P<0.05)。结论:围产期全程针对性营养指导可较好改善初产妇营养状况,降低营养不良发生率,缩短总产程、减少产后出血,减轻了分娩疼痛,提高自然分娩率,降低并发症发生,产妇产后心理状态好、满意度高。Objective:To explore the influence of the targeted nutrition guidance for primipara in the whole perinatal period on their delivery.Methods:A total of 103 primiparas were included and were divided into control group(51 cases)and observation group(52 cases)by random number table method from April 2020 to June 2023.The primiparas in the control group received routine perinatal obstetric care intervention,and the primiparas in the observation group received targeted nutrition guidance intervention in the whole perinatal period additionally.During the intervention,1case in each group was fallen off.The total labor duration,the 2h postpartum blood loss,the rates of natural delivery and the maternal and neonatal complications,the score of the maternal pain score during delivery evaluated by VAS,the scores of Edinburgh Postpartum Depression Scale(EPDS)and Conner-Davidson Flexibility Scale(CD-RISC),the maternal nutrition status and the satisfaction for the intervention of the primiparas in the two groups were observed.Results:The duration of the total labor(431.49±24.19 min)and the amount of postpartum hemorrhage(123±10ml)of the primiparas in the observation group were significantly less than those(508.18±22.17 min and 204±11ml)of the primiparas in the control group.The natural delivery rate(80.4%)of the primiparas in the observation group was significantly higher than that(60.0%)of the primiparas in the control group.The rates of maternal complications(0)and the neonatal complications(3.9%)in the control group were significantly lower than those(8.0%and 16.0%)of the primiparas in the control group.The VAS score(4.85±0.94 points)of the primiparas in the observation group at delivery was significantly lower than that(6.23±0.56 points)of the primiparas in the control group.The scores of EPDS(7.29±0.69 points)and CD-RISC(81.27±4.27 points)of the primiparas in the observation group in 3 days after delivery were significantly better than those(9.13±0.77 points and 77.62±2.65 points)of the primiparas in the control g

关 键 词：初产妇 围产期 全程针对性营养指导 并发症 疼痛 满意率 

分 类 号：R473.71[医药卫生—护理学]