Study On The Application Of Health Management Model In Weight Management Of Pregnant Women With Hepatitis B

[Objective]:The purpose of this study is to use "intimate health management" tomonitor and ma nage the weight of pregnant women with hepatitis B during pregnancy,soas to control the excess ive weight gain during pregnancy and improve the pregnancy outcome.[Methods]:This study was designed to select 60 pregnant women with hepatitis B 18-2w in our hospital from January 2017 to-3,and randomly divided the pregnant women into the experiment al group and the control group by random number table method.Pregnant women in the control group practiced oral education and traditional health education,including antiretroviral therapy d uring pregnancy,blood glucose and liver function monitoring during pregnancy,fetal movement counting and diet,exercise etc.On the basis of the experimental group of pregnant women,healt h.management mode in the group to establish archives to complete a health information question naire of pregnant women,pregnancy calculation BMI index and BMI index into the group,and t he difference in group BMI index and standard weight gain,comparative analysis of insufficient group weight management,information risk prediction of friend health management for four mo nths.The contents include:changing the health concept of pregnant women and improving their health awareness by means of monthly lectures on healthy large classes and individual health gui dance every 2 weeks.Pregnant women record dietary diary 2 times a week,doctors regularly ana lyze the total calories,nutrients ratio,and so on,to achieve a quantitative diet.With the help of th e computer,doctors can tailor the amount of exercise for their pregnant women to achieve quanti tative exercise.Observation of two groups of pregnant women weight management compliance,health behavior,into the group and into the room to be produced when the level of anxiety,weig ht gain during pregnancy and neonatal birth weight,eesarean section,pregnancy complications,e pisiotomy incidence rate of macrosomia.[Results]:(1);in comparison group and before delivery anxiety scores:comparison between grou ps,the group of two groups of maternal anxiety score difference was statistically significant(P>0.05),the control group after the intervention,the anxiety score was significantly higher than the e xperimental group(P<0.05);the comparison group,the control group before delivery was higher than that of group(P<0.05),test group into the group and before delivery anxiety scores did not change significantly(P>0.05);(2)The degree of master of two groups of weight management kn owledge(Master degree above 80 points for qualified)the difference was statistically significant(P<0.05);(3)Of pregnant women in the two groups of health behaviors(including dietary behavi or,activity,blood glucose monitoring In comparison,the difference was statistically significant(P<0.05);(4)The two groups had no statistically significant difference between pre pregnancy wei ght(P>0.05),birth weight was statistically significant(P<0.05);(5)The experimental group at 20 weeks and 30 weeks of pregnancy,pregnant 36 weeks pregnant weight,uterine height,abdomi nal circumference and ultrasound estimation of fetal weight was lower than the control group,th ere are statistically significant difference(P<0.05).(6)The two groups in the incidence of compli cations(including preeclampsia,gestational diabetes,postpartum hemorrhage and so on)the diff erence was statistically significant(P<0.05);(7)The two groups of pregnant woman,and neonat al asphyxia,macrosomia and neonatal hypoglycemia was statistically significant(P<0.05);(8)Comparison of mode of delivery the two groups of maternal mode of delivery,perineal,incision r ate difference was statistically significant(P<0.05),experimental group,cesarean section rate an d perineum incision rate were significantly lower than the control group.[Conclusion]:Health management can improve maternal compliance,improve the natural delivery rate of hepatitis B and vaginal delivery rate,reduce the side cut along the childbirth pain and anxiety,improve their understanding of the weight management,maternal weight gain during pregnancy remained in the normal range,reduce macrosomia and maternal complications and improve birth outcomes,worthy of promotion progress.