38例瘢痕子宫孕妇经阴道试产的观察及护理讨论

The Observation and Nursing about 38 Cases of Scar Uterus Pregnant Women by Vaginal Trial Production

目的分析瘢痕子宫孕妇经阴道试产的观察和护理效果。方法选取2014年9月至2015年6月期间我院产科收治的38例瘢痕子宫孕妇经阴道试产孕妇的临床资料进行回顾性分析,观察患者的分娩情况和护理效果。结果 38例瘢痕子宫阴道试产患者中阴道分娩的共有34例(89%),剖宫产的有4例(11%),其中阴道分娩中有28例为阴道自然分娩,有6例为阴道助产分娩,4例患者因为产程停滞、疼痛剧烈行剖宫产手术,在瘢痕子宫阴道分娩患者中,患者的平均产程在(450.6±38.7)min,平均出血量为(227.9±35.8)m L,新生儿方面,有1例新生儿因窒息死亡。结论通过评估瘢痕子宫患者阴道试产的可行性,密切监测产程,予以患者良好的护理措施,对于瘢痕子宫孕妇行阴道分娩是可行的,安全,可靠,有效的降低了剖宫产发生率。

Objective To analysis of scar uterus pregnant women by the observation and nursing effect of vaginal trial production.Methods To choose between September 2014 and June 2014 period of 38 patients admitted in our hospital obstetrics scar uterus transvaginal trial-produce the clinical data of pregnant women pregnant women were analyzed retrospectively,the childbirth and nursing effect were observed.Results 38 cases of scar uterus vaginal trial production in patients with a total of 34 cases of vaginal delivery（89%）,cesarean section were 4 cases（11%）,28 cases of vaginal delivery were vaginal natural birth,there are 6 cases of vaginal midwifery childbirth,because labor stagnation in 4 patients,pain cesarean section surgery,in patients with cicatricial uterus vaginal delivery,the average labor in patients（450.6±38.7）min,the average blood loss was（227.9±35.8）m L,the newborn,with 1 case of newborn suffocation death.Conclusion By evaluating the feasibility of the patients with cicatricial uterus vaginal trial production,close monitoring of labor,give patients a good nursing measures,line in pregnant women who were scar uterus vaginal delivery is feasible,safe,reliable,effective in reducing the incidence of cesarean delivery.