助产护理干预对高龄产妇分娩方式及产程的影响

Effects of nursing midwifery intervention on mode of delivery and duration of labor in elderly pregnant women

目的探讨助产护理干预对高龄产妇分娩方式及产程的影响。方法将该院住院并分娩的高龄产妇342例随机分为干预组和对照组,每组各171例。对照组采用常规产科护理,干预组在此基础上分别月产前、产时及产后给予一对一的助产护理干预,并进行分娩风险评估及分级管理。比较两组产妇的分娩方式、产程时间及产后出血情况。结果干预组和对照组产妇分娩方式的构成比较,差异有统计学意义(P<0.05);与对照组比较,干预组中自然分娩产妇的第一产程、第二产程及总产程均显著缩短(P<0.05);干预组产后出血率为1.8%,显著低于对照组5.8%,差异有统计学意义(P<0.05)。结论助产护理干预可降低高龄初产妇的剖宫产率,减少产后出血风险,最大限度的保障母婴安全。

Objective To explore the effect of nursing midwifery intervention on mode of delivery and duration of labor in elderly pregnant women. Methods 342 elderly lying-in woman who were admitted to our hospital were randomly divided into two groups. The control group（ n = 171 ） was given routine care and guidance, and the intervention group（ n = 171 ） was given one-on-one nursing midwifery inter- ventian in preantepartum,intrapartum and postpartum. Delivery risk assessment and gratification management was also used. The mode of delivery, duration of labor and postpartum hemorrhage were observed and analyzed. Results There was significant difference on mode of delivery between the two groups （P 〈 0.05 ）. Compared with control group, the first, second stage and total labor duration in intervention group were remarkably shortened （P 〈 0.05 ）. The rate of postpartum hemorrhage of intervention group was 1.8%, significantly lower than that in control group ,5.8% （P 〈 0.05 ）. Conclusions Nursing midwifery intervention can reduce the rate of cesarean section, reduce the risk of postpartum hemorrhage, and ensure the safety of maternal and infant to the limits.