Goktas Olgun
Dr. Olgun Goktas Associate Professor, Uludag University Family Health Center, Nilufer, Bursa, Turkey.
Pak J Med Sci. 2025 Jul;41(7):2066-2072. doi: 10.12669/pjms.41.7.8099.
To evaluate the effects and results of modern improved pregnancy follow-ups.
This retrospective study was conducted with a total of 248 pregnant women between 20 to 43 years of age. In the study, all data belonging to the follow-up of pregnant women who were registered to the Family Health Center between April 1, 2022, and March 31, 2023, were retrieved from the database retrospectively. Sociodemographic characteristics, habits, pregnancy information and counseling process, pregnancy physical examination and laboratory findings, risk factors, drugs used, vaccinations, danger signs developing during pregnancy, and complications were determined and recorded. The data of all follow-ups were analyzed in terms of risk, disease, complications, and outcomes.
The age of the pregnant women was found to be 28.72±3.97 years. While the mean number of general follow-ups was 3.56±1.04 in pregnant women, the mean number of psychosocial follow-ups was 1.11±0.48. The mean weeks of gestation were found to be 36.59±7.65. It was seen that 59.5% of the pregnant women had a normal and live birth, 29.6% had a cesarean and live birth, 4.5% had an abortion, 6.1% were still pregnant and 0.4% had other result pregnancies. The number of general and psychosocial follow-ups of the pregnant women with miscarriage, abortion, and other complications during pregnancy was lower than in the other groups (p=0.01).
Our study showed that miscarriage, abortion, and other complications are very rare with the increase in the number of general and especially psychosocial follow-ups before and during pregnancy. Pregnancy follow-ups carried out by family physicians with developed guidelines are important for the health of the mother and baby.
评估现代改良孕期随访的效果及结果。
本回顾性研究共纳入248名年龄在20至43岁之间的孕妇。在研究中，回顾性地从数据库中检索了2022年4月1日至2023年3月31日期间在家庭健康中心登记的孕妇随访的所有数据。确定并记录社会人口学特征、习惯、妊娠信息及咨询过程、妊娠体格检查及实验室检查结果、危险因素、用药情况、疫苗接种、孕期出现的危险信号及并发症。对所有随访数据进行风险、疾病、并发症及结局方面的分析。
孕妇年龄为28.72±3.97岁。孕妇的一般随访平均次数为3.56±1.04次，心理社会随访平均次数为1.11±0.48次。平均孕周为36.59±7.65周。可见，59.5%的孕妇顺产且分娩活婴，29.6%的孕妇剖宫产且分娩活婴，4.5%的孕妇流产，6.1%的孕妇仍在妊娠，0.4%的孕妇有其他妊娠结局。孕期出现流产、堕胎及其他并发症的孕妇的一般和心理社会随访次数低于其他组（p=0.01）。
我们的研究表明，随着孕期及孕前尤其是心理社会随访次数的增加，流产、堕胎及其他并发症非常罕见。由具备完善指南的家庭医生进行的孕期随访对母婴健康很重要。
