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摘 要 目的：分析围孕期及孕期妇女强化健康教育后的效果观察。方法：选取2014年6月—2015年2月期间上海某社区早孕建册孕妇126例，其中经过优生优育检查备孕者纳入观察组63例，选取63例为对照组，干预后，比较两组对象随访期内孕妇孕期体重增长幅度、孕期保健知识、新生儿出生时的剖宫产率、巨大儿发生率的差别。结果：观察组孕期保健知识知晓情况高于对照组，孕期体重增长幅度和剖宫产率低于对照组，差别均有统计学意义。结论：加强科学生活方式的宣教，早期干预以减少不良妊娠结局的发生，可有效提高母婴健康。

关键词 孕期 健康教育 营养指导

中图分类号：R714.1 文献标志码：A 文章编号：1006-1533（2016）14-0061-02

Observation of the effect of health education for women during the perinatal and pregnant periods in a community

WU Chen， XU Feng， SUN Hong， SHENG Qian， WANG Weiwei

（Huaihaizhonglu Community Health Service Center of Huangpu District， Shanghai 200025， China）

ABSTRACT Objective： To analyze the effect of strengthening health education for women during the perinatal and pregnant periods. Methods： From February 2015 to June 2014，126 cases of pregnant women in early pregnancy registered in a community in Shanghai were selected； those who passed the eugenics inspection for pregnant persons were divided into an observation group with 63 cases， and the rest into a control group. After intervention， the differences of the weight gain amplitude， pregnancy health knowledge， cesarean section rate at birth and the incidence of macrosomia of pregnant women in the two groups were compared. Results： The awareness rate of health knowledge in the observation group was higher than that in the control group， and the gestational weight gain and the rate of cesarean section were lower in the observation group than those in the control group， and the differences were statistically significant. Conclusion： Strengthening the education of the scientific way of life and early intervention to reduce the incidence of adverse pregnancy outcome can effectively improve the maternal and infant health.

KEY WORDS pregnancy； health education； nutrition guide

近年来，随着母婴保健工作地逐步完善，仍有部分孕妇及家属对孕前和孕期科学合理膳食营养存在误解，从而出现孕妇孕期营养过剩，主要表现为孕前超重、肥胖及孕期体重过度增长导致巨大儿、难产，导致分娩方式发生改变[1]。上海市黄浦区淮海中路街道社区卫生服务中心（简称中心）对建册的孕妇进行电话联系和随访，现报道如下。

1 对象与方法

1.1 对象

选择2014年6月—2015年2月期间在本中心早孕建册的孕妇中，经过优生优育检查备孕阶段者纳入观察组共63人，同期早孕建册的孕妇中随机选取63人为对照组。

1.2 调查方法

对照组按常规孕期保健要求开展保健工作，对观察组从围孕期优生优育检查备孕的准妈妈开始，每人建一表格以便跟踪随访。……