中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响分析

郭思彤; 马艳梅; 毛旭

doi:10.16016/j.1000-5404.201907161

您当前的位置：

首页 >

文章列表页 >

中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响分析

临床医学 | 更新时间：2026-01-09

- 中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响分析
- Effect of center group pregnancy care mode on outcome of delivery in elderly pregnant parturient for a second child
- 第三军医大学学报 2020年42卷第1期页码：99-103
- 作者机构：
  
  1.121000 辽宁锦州，锦州医科大学:护理学院
  2.121000 辽宁锦州，锦州医科大学:附属第一医院护理部
- 作者简介：
  
  [马艳梅，E-mail:hlb5065@qq.com MA Yanmei, E-mail:hlb5065@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201907161
  中图分类号： R169.1;R181.37;R715.3
- 收稿：2019-07-20，
  
  修回：2019-10-30，
  
  纸质出版：2020-01-15
- 稿件说明：
移动端阅览
郭思彤, 马艳梅, 毛旭. 中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响分析[J]. 第三军医大学学报, 2020,42(1):99-103.

Sitong GUO, Yanmei MA, Xu MAO. Effect of center group pregnancy care mode on outcome of delivery in elderly pregnant parturient for a second child[J]. Journal of Third Military Medical University, 2020, 42(1): 99-103.
郭思彤, 马艳梅, 毛旭. 中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响分析[J]. 第三军医大学学报, 2020,42(1):99-103. DOI： 10.16016/j.1000-5404.201907161.

Sitong GUO, Yanmei MA, Xu MAO. Effect of center group pregnancy care mode on outcome of delivery in elderly pregnant parturient for a second child[J]. Journal of Third Military Medical University, 2020, 42(1): 99-103. DOI： 10.16016/j.1000-5404.201907161.

摘要

目的

探讨中心群组化孕期保健模式对高龄二胎产妇分娩结局的影响。

方法

选取2018年3月至2019年3月在锦州医科大学附属第一医院产科门诊建卡并定期产检的年龄超过35周岁高龄二胎产妇作为研究对象，采用随机数字表法分为试验组(50例)和对照组(50例)。试验组应用中心群组化孕期保健模式，对照组采用传统孕期保健模式。比较两组产妇顺产率、剖宫产率、侧切率、产钳助产率、产后2 h出血量、产程时间、SAS和SDS评分情况以及患者满意度。

结果

最终两组共100例产妇均完成该研究，试验组顺产率、患者满意度均高于对照组，差异具有统计学意义(

0.05)，试验组剖宫产率、侧切率及第一、二、三产程及总产程时间，产后2 h出血量及产妇产后SAS、SDS评分均低于对照组，差异有统计学意义(

0.05)，两组新生儿Apgar评分差异无统计学意义(

0.05)。

结论

中心群组化孕期保健模式在降低高龄二胎产妇剖宫产率、会阴侧切率、减少产程时间、产后2 h出血量、减轻高龄二胎产妇产后焦虑和抑郁程度等方面具有一定的效果，能够提高高龄二胎产妇的顺产率及满意度。

Abstract

Objective

To evaluate the effect of center group pregnancy care mode on the outcome of delivery in elderly pregnant parturient for a second child.

Methods

A total of 100 pregnant (over 35 years old) women for a second child who established Obstetrical Outpatient Card and underwent regular checkup in our First Affiliated Hospital from March 2018 to March 2019 were recruited in this study. They were randomly divided into experimental group (

=50) and control group (

=50). For the experimental group

the participants accepted not only the prenatal clinic consultation but also subject course of center group pregnancy care mode

while the participants in the control group were given the traditional pregnancy care mode. Natural delivery rate

cesarean section rate

episiotomy rate

forceps delivery rate

postpartum hemo

rrhage rate in 2 h after delivery

labor time

Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores

and patient's satisfaction were compared between the 2 groups.

Results

Eventually

a total of 100 pregnant women completed this clinical trial. The experimental group had significantly higher natural delivery rate and patient's satisfaction

obviously lower cesarean section rate and episiotomy rate

shorter durations for the first

second and third stage of labor and for total labor

decreased postpartum hemorrhage rate

and reduced SAS and SDS scores when compared with the control group (

0.05). No significant difference was seen in the Apgar score between the babies of the 2 groups (

0.05).

Conclusion

The center group pregnancy care mode can reduce the cesarean section rate

episiotomy rate and postpartum hemorrhage rate

shorten time for stage of labor

attenuate the postpartum anxiety and depression

and improve natural childbirth rate and patient's satisfaction.

关键词

Keywords

references

MARTIN J A, HAMILTON B E, OSTERMAN M J, et al .Births: final data for 2013[J ] . Natl Vital Stat Rep, 2015, 15;64(1):1-65.

黎丹, 黄剑青, 张兵, 等.二胎政策开放后对高龄经产妇妊娠特征及妊娠结局的影响[J].中国妇幼卫生杂志, 2019, 10(1): 51-53, 56.

LI D, HUANG J Q, ZHIANG B, et al . Effects of the universal two-chil d policy on the pregnancy characteristics and pregnancy outcome of elderly multiparturients[J ] . Chin J Women Child Heal, 2019, 10(1): 51-53, 56.

许祥竹, 周瑾.对二胎高龄产妇的心理分析及护理干预[J].临床医药文献电子杂志, 2017, 4(59): 11613-11614. DOI:10.16281/j.cnki.jocml.2017.59.071.

XU X Z, ZHOU J. Psychological analysis and nursing intervention for the elderly maternal with second birth[J]. J Clin Med Lit, 2017, 4(59): 11613-11614. DOI:10.16281/j.cnki.jocml.2017.59.071.

顾金甜, 石红丽, 王彭, 等.徐州市高龄二胎孕妇妊娠压力现状及其影响因素调查[J].全科护理, 2018, 16(27): 3433-3435.

GU J T, SHI H L, WANG P, et al . Investigation on the present situation of pregnancy pressure and its influencing factors in second year pregnant women[J ] . Chin Gen Pract Nurs, 2018, 16(27): 3433-3435.

潘旋, 张晶, 张邢炜.国外集中群组孕期保健模式的应用研究进展[J].中华护理杂志, 2016, 51(8): 988-991.

PAN X, ZHANG J, ZHANG X W. Review of application and research on centering pregnancy model in foreign countries[J]. Chin J Nurs, 2016, 51(8): 988-991.

DECESARE J Z, JACKSON J R. Centering pregnancy: practical tips for your practice[J]. Arch Gynecol Obstet, 2015, 291(3): 499-507. DOI:10.1007/s00404-014-3467-2.

金忠玉, 盛琼, 汪显敏, 等.孕妇精神状况对妊娠结局及分娩方式的影响[J].中国民族民间医药, 2016, 25(10): 74-75.

JIN Z Y, SHENG Q, WANG X M, et al . The influence of pregnant women's mental status on pregnancy outcome and delivery mode[J ] . Chin J Ethnomed Ethnopharm, 2016, 25(10): 74-75.

韩佩伟.中国剖宫产现状及其远期影响[J].中国保健营养, 2013, 23(8):2214-2214.

HAN P W. Current status and long-term effects of cesarean section in China[J]. China Health Nutr, 2013, 23(8):2214-2214.

孔欣, 郭培奋.经阴道头位分娩中倡导限制会阴切开[J].中国实用妇科与产科杂志, 2012, 28(2): 117-120.

KONG X, GUO P F. Restricted use of episiotomy in spontaneously vaginal delivery[J]. Chin J Pract Gynecol Obstet, 2012, 28(2): 117-120.

张晨凌.高龄经产妇、高龄初产妇及非高龄经产妇的妊娠结局比较[J].实用临床医药杂志, 2016, 20(9): 197-198.

ZHANG C L. Pregnancy outcomes of older multipara, older primipara and non-older multipara[J]. J Clin Med Pract, 2016, 20(9): 197-198.

姜梅.新母婴护理模式实践[M].北京:人民军医出版社, 2013:143-144.

JIANG M. Practice of new maternal and infant nursing model[M].Beijing: People's Military Medical Publishing House, 2013:143-144.

张方芳, 徐永莲, 刘兴会, 等.产后出血原因及相关危险因素135例临床分析[J].实用妇产科杂志, 2014, 30(2): 144-146.

ZHANG F F, XU Y L, LIU X H, et al . The clinical analysis of the reasons and related risk factor for postpartum hemorrhage in 135 cases[J ] . J Pract Obstet Gynecol, 2014, 30(2): 144-146.

陈丹丹, 李益民, 周临, 等.初产妇对助产士主导的家庭群组式孕期保健服务的体验[J].护理学杂志, 2018, 33(12): 32-34.

CHEN D D, LI Y M, ZHOU L, et al . Primiparas' experiences of participating in a midwife-led centering pregnancy program: aqualitative re search[J ] . J Nurs Sci, 2018, 33(12): 32-34.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据