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目的探讨围生保健档案对孕产妇妊娠结局的影响。方法选取2010年8月—2013年8月在该院住院分娩的4 718例孕产妇,其中以11~14周在我院产科门诊建立围生档案的2 048例孕产妇作为观察组,以未建立围生档案,不能实施围生保健的2 670例孕产妇为对照组。分析二组孕产妇的分娩孕周、婴儿出生体重、妊娠并发症、出生缺陷、子痫、宫内发育受限、围生儿死亡、新生儿窒息的情况。结果 1观察组的早产、低体重儿、巨大儿发生率明显低于对照组,二组比较差异有统计学意义(P<0.01)。2观察组的妊娠并发症、出生缺陷、子痫、宫内发育受限、围生儿死亡、新生儿窒息明显低于对照组,二组比较差异有统计学意义(P<0.05)。结论围生保健档案实用性和可接受性高,通过建立围生保健档案,孕产妇获得了系统而完整的围生保健,减少了孕产妇分娩异常的发生率,改善妊娠结局,提高了围生保健的质量。
Objective To explore the impact of perinatal health care records on pregnant women’s pregnancy outcome. Methods A total of 4 718 pregnant women who were hospitalized and delivered in this hospital from August 2010 to August 2013 were selected. Among them, 2 048 pregnant women with perinatal records in obstetrics and gynecology clinics of 11-14 weeks were selected as the observation group, The establishment of perinatal files, can not implement perinatal care 2 670 cases of pregnant women as a control group. The gestational age, birth weight, complications of pregnancy, birth defects, eclampsia, intrauterine growth restriction, perinatal death and neonatal asphyxia were analyzed in two groups of pregnant women. Results 1 The incidence of preterm birth, low birth weight infants and macrosomia in the observation group was significantly lower than that of the control group, with significant difference between the two groups (P <0.01). Pregnancy complications, birth defects, eclampsia, intrauterine growth restriction, perinatal death and neonatal asphyxia in the observation group were significantly lower than those in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion Perinatal health records are practical and acceptable. By establishing perinatal health care records, pregnant women receive systematic and complete perinatal care, which reduces the incidence of abnormal delivery of pregnant women and improves the outcome of pregnancy and improves perinatal The quality of health care.