高危妊娠管理加助产护理门诊对疤痕子宫孕妇分娩结局的影响

The Effect of Childbirth Outcome by High-risk Pregnancy Management and Midwifery Care Clinic for Scar Uterus Pregnant

目的探讨高危妊娠管理加助产护理门诊对疤痕子宫孕妇分娩结局的影响。方法选取广东省妇幼保健院产科疤痕子宫孕妇172例,采用随机数字表法将孕妇分为两组,每组各86例。对照组采用高危妊娠管理加常规产前门诊,观察组孕妇在对照组基础上采用助产护理门诊。结果观察组阴道分娩率明显高于对照组,剖宫产率、分娩巨大儿率低于对照组,产后2 h出血量明显低于对照组,两组比较差异有统计学意义(P<0.05)。护理前,两组SAI评分比较差异无统计学意义(P>0.05);护理后,观察组SAI评分明显低于对照组,差异有统计学意义(P<0.05)。观察组护理满意率明显高于对照组,两组孕妇比较差异具有显著性(P<0.05)。结论高危妊娠管理加助产护理门诊有助于显著改善疤痕子宫孕妇的分娩结局、心理状态与护理质量,值得临床推广应用。

OBJECTIVE To study the effect of childbirth outcome by high-risk pregnancy management and midwifery care clinic forscar uterus pregnant. METHODS 172 cases of scar uterus pregnant from target hospital＇Obstetrical Department were selected,anddivided the pregnant into two groups by the random number table,each for 43 cases,control group were given the high-risk preg-nancy management and regular antenatal clinic, observation group were given midwifery care clinics on the basis of control group.RESULTS The vaginal delivery rate of observation group pregnant was obviously higher than control group,cesarean section rate andmacrosomia delivery rate were significantly lower than control group, postpartum bleeding in first 2 hours was significantly lowerthan control group,comparing the two groups with statistically significant difference（P〈0.05）. Before nursing,SAI scores betweenthe two groups had no statistical significance（P〉0.05）. After nursing, SAI scores of observation group was obviously lower thancontrol group（P〈0.05）. Nursing satisfaction of observation group was obviously higher than control group, compared between thetwo groups pregnant with significant difference（P〈0.05）. CONCLUSION The high-risk pregnancy management and midwifery careclinic helped improve childbirth outcome,psychological condition and nursing quality for scar uterus pregnant,whick was worthy ofclinical popularization and application.