高危妊娠管理加助产护理门诊对瘢痕子宫孕妇分娩结局的影响

The Effect of High Risk Pregnancy Management Combined with Midwifery Care Clinic on Delivery Outcome of Scar Uterine Pregnant Women

目的:探究高危妊娠管理联合助产护理门诊对改善瘢痕子宫孕妇分娩结局的影响。方法:选取2014年1月-2017年5月在本院门诊产检的瘢痕子宫孕妇90例,根据孕妇的意愿将其分为对照组和观察组,各45例。对照组接受常规高危妊娠管理以及分娩护理,观察组接受高危妊娠管理、助产护理门诊和分娩护理,对比两组的分娩结局。结果:干预2个月、临产前、分娩后,两组的SAS、SDS评分较干预前均明显降低,且观察组均显著低于对照组,差异均有统计学意义(P<0.05)。观察组孕妇的阴道分娩率为40.00%(18/45),高于对照组的11.11%(5/45),产后2 h出血量少于对照组,产后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。观察组新生儿出生1 min的Apgar评分显著高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:对瘢痕子宫孕妇开展高危妊娠管理和助产护理门诊有助于孕妇在妊娠期做好自我护理保健,规避各种不利因素,保证胎儿的健康发育,改善分娩结局。

Objective：To explore the effect of high-risk pregnancy management combined with midwifery nursing clinic for improving the outcome of delivery of pregnant women with scar.Method：From January 2014 to May 2017 in our hospital outpatient examination of the scar uterus pregnant women selected 90 cases,according to the wishes of pregnant women will be divided into the control group and the observation group,45 cases in each group.The control group received regular high-risk pregnancy management and childbirth care,the observation group received high-risk pregnancy management,midwifery care outpatient and childbirth care,the birth outcomes of the two groups were compared.Result： After 2 months,before delivery,after delivery,the SAS and SDS scores of the two groups were significantly lower than those before intervention,and the SAS score and SDS scores of the observation group were significantly lower than those in control group,the differences were statistically significant（P〈0.05）.The rate of vaginal delivery was 40.00%（18/45） in the observation group,which higher than 11.11%（5/45） of the control group,2 hours postpartum hemorrhage in the observation group less than that in the control group,and the incidence of postpartum complications was lower than that of the control group,the differences were statistically significant（P〈0.05）.The Apgar score of 1 min in the observation group was significantly higher than that in the control group,and the complication rate of the observation group,significantly lower than that of the control group,the differences were statistically significant（P〈0.05）.Conclusion：High risk pregnancy management and midwifery nursing care for pregnant women with scarring can help pregnant women to do self-care during pregnancy,avoid various unfavorable factors,ensure healthy development of fetus and improve delivery outcome.