双胎妊娠阴道分娩的临床分析及护理

Clinical analysis and nursing for twin pregnancy with vaginal delivery

目的探讨双胎妊娠阴道分娩的护理。方法回顾性分析30例双胎妊娠阴道分娩病例的临床资料,总结存在的危险因素和采取的护理措施。结果 14例宫缩乏力,9例胎儿宫内窘迫得到及时监测、处理,及时发现、正确处理1例脐带脱垂和1例产后出血。19例新生儿窒息成功复苏17例,2例因重度窒息、极低体重儿复苏无效死亡,6例转新儿科后因并发症死亡。结论加强双胎妊娠阴道分娩孕妇产前宣教、心理护理、三个产程的观察和护理,积极防治宫缩乏力、脐带脱垂、梗阻性难产、胎儿宫内窘迫、新生儿窒息、产后出血,能有效地降低母儿并发症。

Objective To explore the mode of nursing for twin pregnancy with vaginal delivery.Methods Retrospective data were collected from past medical records of 30 cases of twin pregnancy with vaginal delivery,which included risk factor and nursing.Results Fourteen cases of uterine inertia and 9 cases of fetal distress in uterus were handled and monitored promptly;1 case of prolapse of cord and 1 case of postpartum hemorrhage were detected and treated correctly;17/19 cases of neonatal asphyxia were resumed successfully,2/19 cases died of severe asphyxia and very low birth weight,6/19 cases died of complications after switching to neonatology.Conclusion Maternal and neonatal complications can be reduced effectively by strengthening the antepartum promotion,psychological care,observation and nursing the three stages,preventing uterine inertia,prolapse of cord,obstructive delivery,fetal distress in uterus,neonatal asphyxia and postpartum hemorrhage.