产后访视对母婴健康影响分析.docVIP

产后访视对母婴健康影响分析 　　摘要：目的探讨产后访视对母婴健康的影响。方法选取2010年4月~2012年3月泰山社区卫生服务中心访视的产妇861例,对患者实施常规母婴保健知识普及，并在此基础上实施产后访视。观察产妇发生乳汁淤积、乳汁不足、乳头皲裂、乳头凹陷、痔疮、伤口愈合不良、产后抑郁的情况，分析产后访视对母婴健康的影响。结果产妇发生乳汁淤积、乳汁不足、乳头皲裂、乳头凹陷、痔疮、伤口愈合不良、产后抑郁等发生率为16.34%；婴儿发生脐部感染、新生儿黄疸、腹泻、尿布性湿疹、新生儿肺炎、鹅口疮的比率为：7.59%。结论产后访视对母婴健康有着积极的作用。 　　关键词：产后访视；母婴健康 　　Postpartum Visit Analysis on the Influence of Maternal and Child Health 　　LI Li 　　(Taishan Community Health Service Center,The Central Hospital of Xuzhou City,Xuzhou 221009,Jiangsu,China) 　　Abstract：ObjectiveTo investigate the influences of postpartum visits for maternal and infant health. Methods861 lying-in women from Taishan community health service center were selected and asked to learn routine maternal health care knowledge. On this basis, postpartum visits were applied. The influences were analyzed by observing the incidence of galactostasis, hypogalactia, cracked nipple, crater nipple, haemorrhoids, poor wound healing and postpartum depression. ResultsFor lying-in women, the incidence rate of galactostasis, hypogalactia, cracked nipple, crater nipple, haemorrhoids, poor wound healing and postpartum depression were 16.34%. And for infants, the incidence rate of navel infection, neonatal jaundice, diarrhea, diapers eczema, neonatal pneumonia and thrush were 7.59%. ConclusionPostpartum visit is an effective method for improving maternal and infant health condition. 　　Key words：Postpartum visit; Maternal and infant health 　　1资料与方法 　　1.1一般资料选取2010年4月~2012年3月我泰山社区卫生服务中心访视的产妇861例，产妇年龄（21~38）岁，平均（29±5.31）岁；孕周（34~41）w，平均（37±0.68）w；其中初产妇676例，经产妇185例；顺产311例，剖宫产550例；初中及以下学历252例，高中及中专236例，大专及以上357例；新生儿体重（2100~5500）g，平均( 3800 ）g；出生体重＜2500g的27例；双胎8例。 　　1.2方法①孕12w前为孕妇建立《孕产妇保健手册》并进行第一次产前随访。评估孕妇的健康状况，对其姓名、年龄、孕产次、预产期、初建孕周、家庭详细地址、电话等进行详细登记，给予保健知识普极，宣传孕期营养、个人卫生、心理、休息、运动、不要接触宠物、不要随便用药，如果因病必须用药，须经医生允许后方可用，特别强调避免致畸药物和疾病对胚胎的不良影响，整个孕期产前健康检查要大于5次并预约下次产检日期。②每天从臻鼎网上查看产妇分娩记录。③每月下居委和负责计生的领导联系，了解辖区内孕妇名单。④每周从孕产妇管理登记本上筛出待产人员名单，通过电话联系了解孕妇情况，分别于分娩出院之后的7d、14d和28d进行入户访视。⑤在访视的过程中对产妇的休息状况、饮食营养、大小便情况等进行了解；