Abstract:

Objective To explore the effects of classification health care programme in pregnant and puerperal period on improving maternal and infant health service quality and improve pregnancy outcomes.Methods Based on information system construction,through collaboration with the community hospital,the model of classification health care programme in pregnant and perinatal period was constructed. Totally 312 pregnant in the medical association community hospitals were selected and randomly divided into the experimental group and the control group. The experimental group received classification health care,the control group was given routine health service. Relevant indicators were collected,analyzed and compared.Results The coverage rate of midwives,the coverage rate of midwives in early and middle pregnancy,the average score of maternal health knowledge,the rate of natural delivery,the rate of exclusive breastfeeding within six months,the rate of weight gain,and the satisfaction of pregnant women in the experimental group were all higher than those in the control group（P<0.05）. The rate of hospital service loss,the rate of gestational diabetes,and the rate of gestational anemia in the experimental group were significantly lower than those in the control group（P<0.05）.Conclusion Classification health care programme can effectively improve the quality of health care services,promote natural delivery and reduce adverse pregnancy outcomes.

Key words: Maternal Health Care, Care Promote, Midwife, Community Health Nursing

摘要：

目的 探讨孕产期分级保健照护方案对提高母婴保健服务质量及改善妊娠结局的作用。方法 基于信息平台建设,通过医联体内区域协作,构建孕产期分级保健照护方案。选取在我院医联体内社区医院建档的312名孕产妇作为研究对象,随机分为试验组和对照组,试验组实施信息化孕产期分级照护方案的保健服务,对照组实施基础孕产期保健服务,收集相关指标并进行分析比较。结果 试验组助产士保健服务覆盖率、孕早中期助产士保健服务覆盖率、孕产期保健知识平均得分、自然分娩率、6个月内纯母乳喂养率、孕期体重增长达标率以及孕产妇对保健服务的满意度均高于对照组（P<0.05）;试验组孕产妇失访率、妊娠期糖尿病及妊娠合并贫血的发生率低于对照组（P<0.05）。结论 孕产期分级保健照护方案可有效提高孕产期保健服务质量,促进自然分娩及母乳喂养,减少不良妊娠结局的发生。

关键词: 孕产期保健, 照护方案, 助产士, 社区保健护理