瘢痕子宫阴道分娩的产程观察及护理干预探讨

The Observation and Nursing Intervention of Vaginal Delivery in Scar Uterus

目的探究瘢痕子宫阴道分娩中的产程以及护理干预措施和价值。方法选取瘢痕子宫再次妊娠产妇50例为实验组,其均符合阴道试产的指征,并自愿接受阴道试产,对其产程观察及护理干预措施、价值进行分析,同时选择未经阴道试产,直接接受剖宫产的产妇50例为对照组,对比2组分娩结局的差异性。结果实验组中,阴道试产成功率为64.00%;实验组阴道试产成功产妇住院时间、并发症发生几率均明显短于或少于对照组(P<0.05)。结论瘢痕子宫阴道分娩产妇,在其分娩的过程中,加强其产程的观察以及有效的护理干预,可促进其阴道分娩成功率的提高,意义重大。

Objective To explore the labor process in the vaginal delivery of scar uterus and the nursing intervention measures and value. Methods 50 cases of uterine scar pregnancy women were selected as the experimental group, which were consistent with the indications of vaginal delivery, vaginal delivery and accepted vaginal trial delivery voluntarily, observation and nursing intervention measures, value were analyzed, and not directly accept the vaginal delivery, cesarean section as the control group, the differences in the outcome of the 2 groups were compared. Results In the experimental group, the success rate of vaginal trial delivery was 64.00%, and the hospitalization time and complication rate of the experimental group were significantly shorter or less than those of the control group（P〈0.05）. Conclusion In the process of childbirth, strengthening the labor management and effective nursing intervention can promote the success rate of vaginal delivery, and it is of great significance to improve the success rate of vaginal delivery.