不同健康教育方式对正常孕妇体重指数及妊娠结局的影响

目的:探讨孕前正常的孕妇通过孕妇学校或门诊定时查体不同健康教育模式对中晚期体重指数及妊娠结局的影响。方法:孕16周前在该院产科门诊建档的单胎初产孕妇400例,随机双盲均分为孕妇学校健康教育组(A组)和单纯定期门诊检查指导组(B组),对比观察自孕20周起每妊娠月体重指数(BMI)变化与妊娠结局相关指标的相关性。结果:BMI两组孕妇孕前、孕20周时相近(P>0.05);A组孕24周开始即显著低于B组(P<0.05),孕28周至孕38周则有极显著差异(P<0.01)。A组正常产、阴道助产、过期妊娠及新生儿出生体重等虽低于B组但差异无显著性,而剖宫产、妊娠期高血压疾病(HDCP)、妊娠期糖尿病、巨大胎儿等高危妊娠及妊娠结局相关指标均显著低于B组(P<0.05),其中HDCPA组极显著低于B组(P<0.01)。结论:通过孕妇学校动态孕期健康教育进行体重指数调控有助于降低孕期疾病发生,获得满意的妊娠结局。

Effects of normal pregnant body mass index and gestation sequel on different mode heath education

Objective:To discuss effects of normal pregnant body mass index (BMI) and gestation sequel on different mode heath education to the pregnants woman school or clinic timing examine.Methods:400 cases of pregnant women with early fetal prodution of single cards in 16 weeks pregnancy of maternity clinics in this hospital were randomized into pregnants woman school health education group (group A) and simplicity clinic timing examine group (group B) by double-blind to observe pregnancy BMI changes associated with gestation sequel of relevance since the 20th week of pregnancy.Results:BMI in two groups before pregnancy,pregnancy at 20 weeks had no significant difference (P>0.05);BMI at pregnant 24 weeks in group A was significantly lower than that in group B (P<0.05); that at 28 ~ 38 weeks pregnancy had significant difference (P<0.01). Normal production, vaginal delivery, prolonged pregnancy and birth weight in group A wre lower than thsoe of group B but the difference was not significant,and cesarean section, hypertensive disorder complicatin pregnancy (HDCP), gestational diabetes mellitus(GDM), foetus vastness et al high-risk pregnancy and gestation sequel in group A were lower than those in group B (P<0.05), especially HDCP (P<0.01).Conclusion:School health education for pregnant woman during pregnancy by dynamic control of BMI help to reduce disease onset of pregnant during gestation to obtain the satisfying outcome.