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助产士参与产前门诊对初产妇分娩认知行为及分娩结局的影响 被引量:31

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摘要 目的探讨助产士参与产前门诊干预对初产妇分娩认知行为及分娩结局的影响。方法选取在该院定期产检的80例初产妇为研究对象,随机分为观察组和对照组各40例,对照组仅行常规产前检查和孕期指导,观察组在此基础上由助产士进行产前干预,针对产妇孕周进行围生期指导及相关健康教育。比较两组初产妇分娩认知行为、体重指数,分娩结局以及母乳喂养的差异,分析助产士参与产前门诊干预的意义。结果观察组初产妇正常阴道分娩比例高于对照组,而自愿剖宫产、阴道助产,非自愿剖宫产比例均低于对照组,具有统计学意义(P<0.05)。观察组分娩知识问卷得分为(18.2±1.0)分,对照组为(14.5±2.1)分,观察组显著高于对照组(t=4.42,P<0.05)。产前观察组超重比例低于对照组(χ2=6.37,P<0.05),而母乳喂养比例高于对照组(χ2=5.29,P<0.05)。结论助产士参与产前门诊干预有利于改善初产妇产前认知行为,降低剖宫产比例以及超重产妇比例,并提高产后母乳喂养率。
作者 金梅
出处 《安徽医药》 CAS 2013年第12期2171-2172,共2页 Anhui Medical and Pharmaceutical Journal
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共引文献233

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  • 1杨俊.助产士门诊模式的产前护理干预对妊娠结局的影响[J].环球中医药,2013,6(S2):61-62. 被引量:10
  • 2ICM. International definition of the midwife.[EB/OL].(2011-06- 15) [2016-04-19].http://www.internationalmidwives.org/who-we-arel policy-and-practice/icm-international-definition-of-the-midwife.
  • 3卫生和计划生育委员会.出生人口数量波动反映人口结构新变化.[EB/OL].(2016-01-21)[2016-04-18].http://www.nhfpc.gov.cn/fys/index.shtml.
  • 4Gunatilake RP,Perlow JH. Obesity and pregnancy: clinical management of the obese gravida. [J]. Am J Obstet Gynecol,2011,204(2):106-119.
  • 5Gu CY,Wu XD,Ding Y,et al. The effectiveness of a Chinese midwives' antenatal clinic service on childbirth outcomes for primipare: A randomised controlled trial[J].Int J Nurs Stud, 2013,50(12) : 1689-1697.
  • 6Sandal1 J,Hatem M,Devane D,et al. Discussions of findings from a Cochrane review of midwife-led versus other models of care for childbearing women: continuity,normality and safety [J ]. Midwifery, 2009,25 ( 1 ) : 8-13.
  • 7Sutcliffe K,Caird J,Kavanagh J,et al. Comparing midwife-led and doctor-led maternity care:a systematic review of reviews[J]. J Adv Nurs,2012,68(11): 2376-2386.
  • 8Wong N,Browne J,Ferguson S,et al. Getting the first birth right:A retrospective study of outcomes for low-risk primi- parous women receiving standard care versus midwifery model of care in the same tertiary hospital [J].Women Birth,2015, 28(4) : 279-284.
  • 9Cooke HM,Waters DL,Dyer K,et al. Development of a best practice model of midwifery-led antenatal care [J]. Australian Midwifery, 2004,17 (2) : 21-25.
  • 10Biro MA. What has public health got to do with midwifery? Midwives' role in securing better health outcomes for mothers and babies [J ]. Women Birth, 2011,24 ( 1 ) : 17-23.

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