Objective To explore the effect of nursing intervention of national free progestation eugenic health examination on service objects planned to pregnancy.Methods A total of 872 couples in Panyu District of Guangzhou were selected from January 2014 to January 2016 based on convenient sampling. All of them complied with family planning policy, planned to pregnancy and received national free progestation eugenic health examination. The participants were divided into control group (n=436) and observation group (n=436) according to the method of lottery. The control group received national free eugenic health examination, and the observation group received additional nursing care and comprehensive guidance based on the control group. The distribution of high-risk factors of the couples was recorded. The knowledge of birth defects and progestational eugenics and the pregnancy outcomes were observed.Results There were no statistically significant differences in the incidence of reproductive tract infection, pre-pregnancy virus screening, abnormal pre-pregnancy laboratory findings, adverse pregnancy outcome, family history of high risk, wife/husband environmental exposure, and other high-risk factors between two groups (P>0.05). There were significant differences in health and nutrition during pregnancy, the optimal reproductive age, the importance of progestation examination, the normal physiological process of pregnancy, the time of folic acid supplementation, and the prevention of birth defects between two groups (P<0.05). The observation group had significantly higher normal pregnancy rate and lower miscarriage and stillbirth rate compared with the control group (95.15% vs. 85.82% for normal pregnancy; 2.99% vs. 13.42% for miscarriage; 0.75% vs. 1.87% for stillbirth;P<0.05).Conclusions Nursing intervention in progestation eugenic health examination can effectively improve the eugenic knowledge, attitude and behavior, and the outcome of pregnancy. It can reduce the risk of birth defects.

Objective To explore the prenatal care before pregnant for women having plan to get second child, and to provide references for the development and guidance of the nursing work for the second pregnant women.Methods From January to October 2015, 1028 pregnant ages women who had plan to have second child were randomly selected and divided into control group and experimental group according to the order of entry into Maternal and Child Health Care Center. The control group (n=514) received routine pre-pregnancy care, while the experimental group (n=514) were given combined nursing intervention. All the women were followed up for 18 to 24 months. The results of the two groups before and after the intervention were analyzed in preconception eugenic health examination related knowledge of the situation. Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate the mental state and the compliance of pre-pregnancy health examination were compared.Results Compared with the control group, the knowledge of prenatal health examination was significantly higher in the experimental group than that in the control group, as well as health examination, inherited diseases, risk assessment, and pregnant related health knowledge (P<0.05). After the intervention, the scores of the two groups were significantly lower than that before intervention in SDS and SAS, and the difference was statistically significant (P<0.05); after intervention, SDS, SAS and other psychological scores in the experimental group were significantly lower than those of the control group, and the differences were statistically significant (P<0.05). The compliance of the experimental group after intervention was significantly higher than that of the control group (P<0.05).Conclusions Nursing intervention can significantly improve the health knowledge of women having second child plan, and the awareness rate is improved after intervention. The effect of nursing intervention on improving the psychological status of pregnant women is satisfactory.