The Study of Effect of

doi:10.12280/gjfckx.20200962

Abstract

Abstract:

Objective: To analyze the effect of "pregnant women school" courses during pregnancy on the neonatal outcomes. Methods: Patients who were hospitalized in the Obstetrics Department of Characteristic Medicine Center of the Chinese People′s Armed Police Forces from October 2018 to August 2019 with full-term single pregnancy and regular prenatal examination during pregnancy were retrospectively analyzed, including the observation-high group (53 women who participated in more than 7 courses) , observation-middle group (56 women who participated in from 4 to 6 courses) , observation-low group (48 women who participated in less than 3 courses) , and the control group (69 women who did not participated in any course). The neonatal outcomes including neonatal weight, umbilical artery blood pH, umbilical artery lactate level, postnatal Apgar scores, meconium aspiration syndrome (MAS) rates, hypoxic ischemic encephalopathy (HIE) rates, necrotizing enteritis (NEC) rates and rates of transfer to neonatal department were compared. Results: The high, middle and low groups in the observation groups were lower than the control group in neonatal weight and neonatal umbilical artery blood lactic acid level, the difference was statistically significant (P<0.05). The pH of umbilical artery blood and Apgar score of 1 min after birth in high and middle groups in the observation groups were higher than those of control group, the difference was statistically significant (P<0.05). There was no significant difference in Apgar score at 5 min after birth, Apgar score at 10 min after birth, MAS, HIE, NEC rate and neonatal transfer rate among the four groups (P>0.05). Conclusions: The courses of "pregnant women school" during pregnancy can improve neonatal outcomes including neonatal weight, umbilical artery blood pH, umbilical artery lactate level, and Apgar score of 1 min after birth, and therefore, it is worth carrying out extensively during pregnancy.

Key words: Pregnancy, Maternal health services, Health education, Infant, newborn, Pregnancy outcome, Pregnant women school

XIA Yu-pei, QIN Zhao-jing, WANG Hua, LIU Chuan-li, RAN Li-wei, DONG Qu-long, SHI Hai-xia. The Study of Effect of "Pregnant Women School" Courses on Neonatal Outcomes During Pregnancy[J]. Journal of International Obstetrics and Gynecology, 2021, 48(2): 196-200.

Figures/Tables 2

References 16

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组别	n	年龄（岁）	孕次（次）	分娩孕周（周）	BMI （kg/m²）
对照组	69	29.88±3.78	1.38±0.57	39.46±0.95	20.20±1.70
观察组
低	48	30.25±4.14	1.33±0.52	39.59±0.80	20.09±1.63
中	56	29.82±4.16	1.32±0.51	39.63±0.85	20.35±1.60
高	53	30.47±4.43	1.40±0.57	39.60±0.92	20.50±1.51
F		0.314	0.232	0.480	0.653
P		0.815	0.874	0.697	0.582

组别	n	年龄（岁）	孕次（次）	分娩孕周（周）	BMI （kg/m²）
对照组	69	29.88±3.78	1.38±0.57	39.46±0.95	20.20±1.70
观察组
低	48	30.25±4.14	1.33±0.52	39.59±0.80	20.09±1.63
中	56	29.82±4.16	1.32±0.51	39.63±0.85	20.35±1.60
高	53	30.47±4.43	1.40±0.57	39.60±0.92	20.50±1.51
F		0.314	0.232	0.480	0.653
P		0.815	0.874	0.697	0.582

组别	n	新生儿体质量（kg）	脐动脉血pH值	脐动脉血乳酸水平（mmol/L）	Apgar评分（分）
组别	n	新生儿体质量（kg）	脐动脉血pH值	脐动脉血乳酸水平（mmol/L）	1 min	5 min	10 min
对照组	69	3 668.19±313.44	7.23±0.07	4.03±1.34	8.65±0.82	9.74±0.47	9.88±0.32
观察组
低	48	3 517.71±360.04^A	7.25±0.06	3.58±1.03^A	8.90±0.72	9.77±0.52	9.90±0.31
中	56	3 423.36±385.13^A	7.28±0.07^AB	3.15±1.16^A	8.95±0.67^A	9.75±0.44	9.91±0.29
高	53	3 342.45±356.72^AB	7.30±0.06^AB	2.86±1.06^AB	9.04±0.76^A	9.79±0.45	9.91±0.30
F		9.705	12.374	11.477	3.035	0.146	0.092
P		0.000	0.000	0.000	0.030	0.932	0.964

组别	n	新生儿体质量（kg）	脐动脉血pH值	脐动脉血乳酸水平（mmol/L）	Apgar评分（分）
组别	n	新生儿体质量（kg）	脐动脉血pH值	脐动脉血乳酸水平（mmol/L）	1 min	5 min	10 min
对照组	69	3 668.19±313.44	7.23±0.07	4.03±1.34	8.65±0.82	9.74±0.47	9.88±0.32
观察组
低	48	3 517.71±360.04^A	7.25±0.06	3.58±1.03^A	8.90±0.72	9.77±0.52	9.90±0.31
中	56	3 423.36±385.13^A	7.28±0.07^AB	3.15±1.16^A	8.95±0.67^A	9.75±0.44	9.91±0.29
高	53	3 342.45±356.72^AB	7.30±0.06^AB	2.86±1.06^AB	9.04±0.76^A	9.79±0.45	9.91±0.30
F		9.705	12.374	11.477	3.035	0.146	0.092
P		0.000	0.000	0.000	0.030	0.932	0.964