CAJ | 학술논문

目的：探讨孕期综合管理对产妇分娩方式及母婴结局的影响。方法选择在广元市妇幼保健院分娩的240例初产妇，在产科门诊进行孕期综合管理的120例为观察组，同期行孕期常规检查的120例为对照组，比较两组产妇妊娠期并发症、产前负性情绪、分娩方式及母婴结局情况。结果观察组产妇妊娠期并发症发生率、产前负性情绪低于对照组（ P＜0.05）；观察组自然分娩率高于对照组，围生儿不良结局（巨大儿、早产儿、低体重儿）发生率低于对照组（ P＜0.05）。结论孕期综合管理有利于母婴健康，提高了自然分娩率，是一种有效的产科管理方式。
목적：탐토잉기종합관리대산부분면방식급모영결국적영향。방법선택재엄원시부유보건원분면적240례초산부，재산과문진진행잉기종합관리적120례위관찰조，동기행잉기상규검사적120례위대조조，비교량조산부임신기병발증、산전부성정서、분면방식급모영결국정황。결과관찰조산부임신기병발증발생솔、산전부성정서저우대조조（ P＜0.05）；관찰조자연분면솔고우대조조，위생인불량결국（거대인、조산인、저체중인）발생솔저우대조조（ P＜0.05）。결론잉기종합관리유리우모영건강，제고료자연분면솔，시일충유효적산과관리방식。
Objective To explore the influence of integrated management during pregnancy on delivery way andmaternalandneonataloutcomes.Methods 120primiparasinTheMaternalandChildHealthHospitalof Guangyuan City accepted integrated management during pregnancy and delivery were selected as observation group , 120 primiparas accepted routine prenatal examination and delivery in the same period were selected as control group . The maternal complications during pregnancy , prenatal negative emotions , delivery ways and maternal and neonatal outcomes between two groups were compared .Results The maternal complication rates and prenatal negative emotions in observation group were significantly lower than the control group ( P <0.05 ); Natural births rate in observation group was significantly higher than the control group , the perinatal adverse outcomes in observation group ( macrosomia , premature and infant of low -birth weight ) had significantly improved than the control group , ( P<0.05).Conclusion Integrated management during pregnancy is favor for maternal and neonatal health , which can improve natural births rate .It is an effective way in obstetric management .