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目的:了解优化孕妇学校课程对改善孕产妇妊娠结局及围产期保健知识掌握程度等方面的效果。方法:采取单盲随机对照方法,取2009年6月～2009年11月在闵行区中心医院建卡并住院分娩的初产妇为研究对象,以接受优化课程者为干预组,接受传统课程者为对照组。调查指标通过问卷、门诊或住院病历资料收集,由专人管理,并进行统计分析。结果:干预组符合纳入条件者371例,对照组368例。两组对象社会人口学及一般指标之间均无统计学差异,干预组新生儿出生体重及剖宫产率低于对照组,且孕妇在围产期保健知识掌握程度、母乳喂养等方面优于对照组。两组间不良妊娠结局发生率无统计学差异,干预组对象能够应用自我保健知识及时就医。结论:优化孕妇学校课程有利于孕产妇掌握基本保健技能,可在一定程度上改善妊娠结局。
OBJECTIVES: To understand the effects of optimizing maternal school curricula on improving maternal pregnancy outcomes and knowledge of perinatal care. Methods: A single-blind randomized controlled trial was conducted in June 2009 to November 2009 in the Central Hospital of Minhang District, and the primiparous women who were hospitalized for delivery were selected as the study subjects. The subjects who received the optimized course were the intervention group and those who accepted the traditional course were Control group. Survey indicators through the questionnaire, outpatient or inpatient medical records collection, by special management, and statistical analysis. Results: In the intervention group, 371 cases met the inclusion criteria and 368 cases in the control group. There were no significant differences in socio-demographic and general indicators between the two groups. The neonatal birth weight and cesarean section rate in the intervention group were lower than those in the control group, and the pregnant women were superior to those in the control of perinatal health knowledge and breastfeeding Control group. There was no significant difference in the incidence of adverse pregnancy outcomes between the two groups, and the subjects in the intervention group were able to apply the self-care knowledge for timely medical treatment. Conclusion: Optimizing the pregnant women’s school curriculum is conducive to maternal grasp of basic health skills, to some extent, improve pregnancy outcomes.